Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $636.14 / $2,499.13	Facility		$344.75	$636.14	$2,499.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $331.62 / $378.65	Professional		$328.34	$331.62	$378.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $679.66 / $1,073.67	Facility		$328.34	$679.66	$1,073.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $440.89	Professional		$328.34	$328.34	$440.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.93 / $302.93 / $328.34	Professional		$302.93	$302.93	$328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $309.75 / $328.34	Facility		$309.75	$309.75	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Professional		$328.34	$328.34	$328.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $328.34 / $1,500.26	Professional		$279.08	$328.34	$1,500.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $376.47 / $1,229.98	Facility		$328.34	$376.47	$1,229.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.75 / $1,280.00 / $2,814.00	Professional		$578.75	$1,280.00	$2,814.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $394.01 / $885.00	Facility		$328.34	$394.01	$885.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $394.01 / $885.00	Professional		$328.34	$394.01	$885.00
United Facility/Professional Facility Modifier Low / Median / High Price $765.32 / $765.32 / $765.32	Facility		$765.32	$765.32	$765.32
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $390.72	Professional		$328.34	$348.04	$390.72