Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $363.95 / $723.72	Facility		$318.52	$363.95	$723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $350.38	Professional		$318.52	$318.52	$350.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $659.36 / $1,041.58	Facility		$318.52	$659.36	$1,041.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $426.95	Professional		$318.52	$318.52	$426.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $317.42 / $318.52	Professional		$317.42	$317.42	$318.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $300.50 / $318.52	Facility		$300.50	$300.50	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $318.52 / $382.24	Professional		$270.75	$318.52	$382.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.93 / $334.46 / $509.65	Facility		$261.93	$334.46	$509.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $451.00 / $721.80	Professional		$282.17	$451.00	$721.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $366.31 / $477.80	Facility		$318.52	$366.31	$477.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $366.31 / $477.80	Professional		$318.52	$366.31	$477.80
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $337.64 / $365.23	Professional		$318.52	$337.64	$365.23