Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.63 / $937.73 / $937.73	Facility		$804.63	$937.73	$937.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $937.73 / $1,288.80	Professional		$699.65	$937.73	$1,288.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.75 / $1,057.75 / $1,057.75	Professional		$1,057.75	$1,057.75	$1,057.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,195.90 / $1,195.90 / $1,439.76	Professional		$1,195.90	$1,195.90	$1,439.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $989.22	Professional		$751.21	$989.22	$989.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.84 / $1,687.57 / $2,270.56	Professional		$1,393.84	$1,687.57	$2,270.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $804.63 / $1,059.63	Facility		$155.90	$804.63	$1,059.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,150.00	Professional		$1,150.00	$1,150.00	$1,150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.11 / $581.51 / $1,672.88	Facility		$112.11	$581.51	$1,672.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $683.60 / $1,692.55	Professional		$109.36	$683.60	$1,692.55
United Facility/Professional Professional Modifier Low / Median / High Price $728.63 / $777.24 / $1,295.40	Professional		$728.63	$777.24	$1,295.40