Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $542.88 / $87,946.56	Facility		$258.64	$542.88	$87,946.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $312.81	Professional		$258.64	$258.64	$312.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $535.38 / $845.75	Facility		$258.64	$535.38	$845.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $346.68	Professional		$258.64	$258.64	$346.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.51 / $258.51 / $258.64	Professional		$258.51	$258.51	$258.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $258.64	Facility		$244.00	$244.00	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $258.64 / $310.37	Professional		$219.84	$258.64	$310.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.86 / $263.02 / $410.70	Facility		$106.86	$263.02	$410.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $263.02 / $373.89	Professional		$150.00	$263.02	$373.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $292.80 / $387.96	Facility		$258.64	$292.80	$387.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $292.80 / $387.96	Professional		$258.64	$292.80	$387.96
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $292.39	Professional		$258.64	$274.16	$292.39