Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $292.49 / $581.61	Facility		$256.08	$292.49	$581.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $281.70	Professional		$256.08	$256.08	$281.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $530.11 / $837.41	Facility		$256.08	$530.11	$837.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $343.26	Professional		$256.08	$256.08	$343.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $255.09 / $256.08	Professional		$255.09	$255.09	$256.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $241.59 / $256.08	Facility		$241.59	$241.59	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $256.08 / $307.31	Professional		$217.68	$256.08	$307.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $268.89 / $409.52	Facility		$190.32	$268.89	$409.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $329.00 / $556.22	Professional		$231.76	$329.00	$556.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $278.98 / $384.14	Facility		$254.53	$278.98	$384.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $278.98 / $384.14	Professional		$254.53	$278.98	$384.14
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $288.07	Professional		$256.08	$271.45	$288.07