Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $357.33 / $774.65	Facility		$340.31	$357.33	$774.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $357.33 / $357.33	Professional		$340.31	$357.33	$357.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $718.05 / $1,157.05	Facility		$340.31	$718.05	$1,157.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $432.64 / $739.96	Professional		$316.27	$432.64	$739.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $321.05 / $340.31	Facility		$321.05	$321.05	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.23 / $340.31 / $401.90	Professional		$255.23	$340.31	$401.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $357.33 / $613.89	Facility		$340.31	$357.33	$613.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $357.33 / $22,827.00	Professional		$340.31	$357.33	$22,827.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $317.13 / $340.31 / $435.60	Facility		$317.13	$340.31	$435.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $340.31 / $435.60	Professional		$317.13	$340.31	$435.60
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $357.50	Professional		$136.12	$340.31	$357.50