Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $870.96	Facility		$724.44	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,819.70	Professional		$707.95	$870.96	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,230.27	Professional		$616.60	$831.76	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,388.44	Professional		$954.99	$1,621.81	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $5,370.32	Facility		$2,754.23	$4,265.80	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,380.38	Professional		$954.99	$1,258.93	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,584.89	Facility		$724.44	$1,122.02	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $10,000.00	Facility		$812.83	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $10,000.00	Professional		$812.83	$1,230.27	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,258.93 / $7,762.47	Facility		$575.44	$1,258.93	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,778.28	Professional		$676.08	$1,096.48	$1,778.28