Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $437.59 / $870.14	Facility		$384.85	$437.59	$870.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $404.09 / $404.09	Professional		$384.85	$404.09	$404.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $812.03 / $1,308.49	Facility		$384.85	$812.03	$1,308.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.58 / $570.77 / $861.34	Professional		$501.58	$570.77	$861.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $384.85	Facility		$363.06	$363.06	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.12 / $435.79 / $461.82	Professional		$327.12	$435.79	$461.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $615.42	Facility		$384.85	$384.85	$615.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $358.64 / $373.30 / $492.61	Facility		$358.64	$373.30	$492.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $358.64 / $373.30 / $492.61	Professional		$358.64	$373.30	$492.61
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $454.12	Professional		$384.85	$407.94	$454.12