Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.69 / $654.70 / $898.02	Facility		$411.69	$654.70	$898.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $411.69 / $590.97	Professional		$392.08	$411.69	$590.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $827.31 / $1,333.11	Facility		$392.09	$827.31	$1,333.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.32 / $540.65 / $924.69	Professional		$392.32	$540.65	$924.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $369.90 / $392.09	Facility		$369.90	$369.90	$392.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.07 / $392.09 / $470.51	Professional		$294.07	$392.09	$470.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $411.69 / $452.86	Facility		$392.09	$411.69	$452.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $392.09 / $566.23	Professional		$91.00	$392.09	$566.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $372.49 / $401.84 / $501.88	Facility		$372.49	$401.84	$501.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $401.84 / $501.88	Professional		$372.49	$401.84	$501.88
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $416.08	Professional		$156.84	$392.09	$416.08