Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $711.75 / $1,342.50	Facility		$281.25	$711.75	$1,342.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $300.00 / $318.75	Professional		$281.25	$300.00	$318.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $243.75	Professional		$150.00	$150.00	$243.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $337.50 / $658.12	Professional		$300.00	$337.50	$658.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $700.72 / $1,920.65	Facility		$243.75	$700.72	$1,920.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $414.59 / $496.73	Professional		$219.38	$414.59	$496.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $450.00 / $555.00	Professional		$375.00	$450.00	$555.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.19 / $431.25 / $673.88	Facility		$312.19	$431.25	$673.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $656.25 / $900.00	Professional		$514.00	$656.25	$900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $262.50 / $375.00 / $601.50	Facility		$262.50	$375.00	$601.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $375.00 / $601.50	Professional		$262.50	$375.00	$601.50
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $187.50 / $431.25	Professional		$157.50	$187.50	$431.25