Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,754.23	Professional		$954.99	$1,148.15	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,454.71	Professional		$977.24	$1,445.44	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $8,317.64	Professional		$977.24	$1,513.56	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,238.72	Professional		$977.24	$1,348.96	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,318.26	Professional		$891.25	$1,096.48	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,344.23	Professional		$1,380.38	$1,698.24	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $9,549.93	Professional		$954.99	$1,380.38	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,137.96	Professional		$794.33	$1,258.93	$2,137.96