Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.62 / $514.72 / $868.80	Facility		$410.62	$514.72	$868.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $463.52	Professional		$391.07	$391.07	$463.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $809.51 / $1,278.80	Facility		$391.07	$809.51	$1,278.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $524.19	Professional		$391.07	$391.07	$524.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.06 / $383.06 / $391.07	Professional		$383.06	$383.06	$391.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $368.93 / $391.07	Facility		$368.93	$368.93	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.41 / $391.07 / $469.28	Professional		$332.41	$391.07	$469.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $283.44 / $410.62 / $625.71	Facility		$283.44	$410.62	$625.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $457.93 / $812.16	Professional		$363.00	$457.93	$812.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $376.31 / $420.58 / $586.61	Facility		$376.31	$420.58	$586.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $420.58 / $586.61	Professional		$376.31	$420.58	$586.61
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $442.10	Professional		$391.07	$414.53	$442.10