Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $366.47 / $366.47	Facility		$349.02	$366.47	$366.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $366.47	Professional		$349.02	$349.02	$366.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $465.87	Professional		$349.02	$349.02	$465.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $550.61	Professional		$255.00	$255.00	$550.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $329.26 / $349.01	Facility		$329.26	$329.26	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $349.02 / $1,025.58	Professional		$296.67	$349.02	$1,025.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $359.49 / $582.69	Facility		$349.02	$359.49	$582.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $675.00 / $919.80	Professional		$349.02	$675.00	$919.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $456.00 / $600.00	Facility		$400.00	$456.00	$600.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $456.00 / $600.00	Professional		$400.00	$456.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $446.75	Professional		$349.02	$349.02	$446.75