Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $933.25	Facility		$338.84	$389.05	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $371.54	Professional		$338.84	$338.84	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $1,148.15	Facility		$338.84	$676.08	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $446.68	Professional		$338.84	$338.84	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $794.33	Professional		$338.84	$524.81	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Facility		$316.23	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $398.11	Professional		$257.04	$323.59	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $18,197.01	Facility		$338.84	$354.81	$18,197.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $467.74	Professional		$338.84	$354.81	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $501.19	Facility		$323.59	$331.13	$501.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $501.19	Professional		$323.59	$331.13	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $338.84 / $562.34	Facility		$3.39	$338.84	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $338.84	Professional		$134.90	$338.84	$338.84