Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $380.19	Professional		$354.81	$371.54	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $602.56	Professional		$354.81	$354.81	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,137.96	Professional		$707.95	$1,000.00	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $446.68 / $660.69	Facility		$363.08	$446.68	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $575.44	Facility		$371.54	$426.58	$575.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $575.44	Professional		$371.54	$426.58	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $588.84	Facility		$95.50	$95.50	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $446.68	Professional		$380.19	$389.05	$446.68