Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.20 / $620.20 / $1,753.80	Facility		$620.20	$620.20	$1,753.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.77 / $620.20 / $1,261.42	Professional		$614.77	$620.20	$1,261.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.52 / $789.46 / $1,107.09	Professional		$617.52	$789.46	$1,107.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.85 / $773.15 / $937.86	Professional		$501.85	$773.15	$937.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.78 / $1,493.09 / $3,337.96	Facility		$604.78	$1,493.09	$3,337.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $907.98 / $1,714.75	Professional		$238.33	$907.98	$1,714.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.86 / $920.38 / $951.95	Professional		$663.86	$920.38	$951.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $336.90 / $871.92 / $1,252.26	Facility		$336.90	$871.92	$1,252.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $975.00 / $1,614.19	Professional		$93.00	$975.00	$1,614.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $726.69 / $1,447.02	Facility		$87.99	$726.69	$1,447.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $842.87 / $1,603.14	Professional		$88.78	$842.87	$1,603.14
United Facility/Professional Professional Modifier Low / Median / High Price $273.23 / $745.61 / $1,391.23	Professional		$273.23	$745.61	$1,391.23