Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.60 / $908.31 / $908.31	Facility		$723.60	$908.31	$908.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.37 / $723.60 / $908.31	Professional		$625.37	$723.60	$908.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.93 / $591.20 / $829.07	Professional		$462.93	$591.20	$829.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,492.27 / $2,296.85 / $2,461.89	Professional		$1,492.27	$2,296.85	$2,461.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.99 / $2,192.55 / $3,579.22	Facility		$633.99	$2,192.55	$3,579.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,277.21 / $3,277.21 / $3,277.21	Professional		$3,277.21	$3,277.21	$3,277.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.51 / $851.45 / $894.38	Professional		$623.51	$851.45	$894.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $908.31 / $1,396.55	Facility		$592.27	$908.31	$1,396.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $1,131.00 / $1,510.80	Professional		$906.00	$1,131.00	$1,510.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $631.27 / $1,037.96 / $7,420.00	Facility		$631.27	$1,037.96	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $631.27 / $1,037.96 / $7,420.00	Professional		$631.27	$1,037.96	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.73 / $781.12 / $1,308.84	Professional		$445.73	$781.12	$1,308.84