Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $512.02 / $23,433.36	Facility		$243.71	$512.02	$23,433.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $295.02	Professional		$243.71	$246.15	$295.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $504.48 / $796.93	Facility		$243.71	$504.48	$796.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $326.66	Professional		$243.71	$243.71	$326.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.82 / $243.82	Professional		$243.61	$243.82	$243.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $229.92 / $243.71	Facility		$229.92	$229.92	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $243.71 / $292.45	Professional		$207.15	$243.71	$292.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $255.90 / $389.94	Facility		$202.11	$255.90	$389.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $246.37 / $368.00 / $559.82	Professional		$246.37	$368.00	$559.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $280.27 / $365.57	Facility		$243.71	$280.27	$365.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $280.27 / $365.57	Professional		$243.71	$280.27	$365.57
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $280.27	Professional		$243.71	$258.33	$280.27