Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.50 / $1,049.88 / $2,312.57	Facility		$821.50	$1,049.88	$2,312.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.29 / $911.26 / $1,066.81	Professional		$742.29	$911.26	$1,066.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.75 / $1,118.10 / $1,855.30	Professional		$850.75	$1,118.10	$1,855.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $2,145.00	Professional		$1,100.00	$1,100.00	$2,145.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $638.35 / $1,295.84	Facility		$623.15	$638.35	$1,295.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.26 / $1,124.69 / $2,103.07	Professional		$786.26	$1,124.69	$2,103.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.50 / $991.17 / $1,253.97	Professional		$842.50	$991.17	$1,253.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.81 / $970.05 / $1,503.36	Facility		$792.81	$970.05	$1,503.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,143.15 / $1,449.65 / $2,092.54	Professional		$1,143.15	$1,449.65	$2,092.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $911.21 / $1,280.00 / $2,080.00	Facility		$911.21	$1,280.00	$2,080.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $911.21 / $1,280.00 / $2,080.00	Professional		$911.21	$1,280.00	$2,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $800.00 / $1,521.95	Professional		$440.00	$800.00	$1,521.95