Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $741.31 / $1,000.00	Facility		$354.81	$741.31	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Professional		$354.81	$354.81	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,202.26	Facility		$354.81	$676.08	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $602.56	Professional		$354.81	$354.81	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $537.03	Professional		$354.81	$354.81	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Facility		$338.84	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $407.38	Professional		$302.00	$354.81	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $588.84	Facility		$354.81	$389.05	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $524.81	Facility		$338.84	$354.81	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $524.81	Professional		$338.84	$354.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $562.34	Facility		$338.84	$354.81	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $407.38	Professional		$354.81	$380.19	$407.38