Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $469.56 / $933.71	Facility		$422.89	$469.56	$933.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $427.12 / $465.18	Professional		$422.89	$427.12	$465.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $875.38 / $1,382.85	Facility		$422.89	$875.38	$1,382.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $567.85	Professional		$422.89	$422.89	$567.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $409.52 / $422.90	Professional		$409.52	$409.52	$422.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $398.96 / $422.89	Facility		$398.96	$398.96	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $422.89 / $828.12	Professional		$359.46	$422.89	$828.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $448.26 / $750.43	Facility		$422.89	$448.26	$750.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $565.15 / $984.14	Professional		$410.06	$565.15	$984.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $507.47 / $828.12	Facility		$422.89	$507.47	$828.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $507.47 / $828.12	Professional		$422.89	$507.47	$828.12
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $499.44	Professional		$422.89	$448.26	$499.44