Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $776.25 / $1,023.29	Facility		$371.54	$776.25	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $407.38	Professional		$371.54	$371.54	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $1,258.93	Facility		$371.54	$741.31	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $616.60	Professional		$371.54	$371.54	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $851.14	Professional		$489.78	$562.34	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Facility		$346.74	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $446.68	Professional		$316.23	$371.54	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $588.84	Facility		$371.54	$371.54	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $537.03	Facility		$354.81	$371.54	$537.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $537.03	Professional		$354.81	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $575.44	Facility		$354.81	$371.54	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $436.52	Professional		$354.81	$371.54	$436.52