Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $445.83 / $886.53	Facility		$392.63	$445.83	$886.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $470.48	Professional		$392.63	$392.63	$470.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $812.74 / $1,283.90	Facility		$392.63	$812.74	$1,283.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $526.28	Professional		$392.63	$392.63	$526.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $388.83 / $392.62	Professional		$388.83	$388.83	$392.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $370.40 / $392.63	Facility		$370.40	$370.40	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $349.89 / $415.98	Professional		$333.74	$349.89	$415.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $397.30 / $627.87	Facility		$165.63	$397.30	$627.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $438.00 / $593.83	Professional		$245.77	$438.00	$593.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $391.13 / $422.36 / $588.95	Facility		$391.13	$422.36	$588.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $422.36 / $588.95	Professional		$391.13	$422.36	$588.95
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $416.19 / $439.75	Professional		$388.77	$416.19	$439.75