Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $688.93 / $688.93	Facility		$656.12	$688.93	$688.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $688.93	Professional		$656.12	$656.12	$688.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $992.64	Professional		$656.12	$656.12	$992.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $129.27 / $538.11	Professional		$129.27	$129.27	$538.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $618.98 / $656.12	Facility		$618.98	$618.98	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $656.12 / $1,501.38	Professional		$557.70	$656.12	$1,501.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $1,049.79	Facility		$656.12	$656.12	$1,049.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $292.00 / $1,475.16	Professional		$229.26	$292.00	$1,475.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $201.59 / $382.03	Facility		$164.39	$201.59	$382.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $201.59 / $382.03	Professional		$164.39	$201.59	$382.03
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $823.43	Professional		$656.12	$656.12	$823.43