Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $484.42 / $484.42	Facility		$461.36	$484.42	$484.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $484.42	Professional		$461.36	$461.36	$484.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $618.40	Professional		$461.36	$461.36	$618.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $241.60 / $1,226.25	Professional		$241.60	$241.60	$1,226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $435.24 / $461.36	Facility		$435.24	$435.24	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.16 / $461.36 / $1,500.50	Professional		$392.16	$461.36	$1,500.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $755.49	Facility		$461.36	$461.36	$755.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.45 / $412.52 / $461.36	Professional		$254.45	$412.52	$461.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $227.24 / $401.83	Facility		$168.42	$227.24	$401.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $227.24 / $401.83	Professional		$168.42	$227.24	$401.83
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $704.66	Professional		$461.36	$461.36	$704.66