Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Facility		$831.76	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Professional		$1,023.29	$1,023.29	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Facility		$870.96	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $891.25 / $891.25	Professional		$123.03	$891.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,862.09	Professional		$1,122.02	$1,348.96	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $794.33 / $1,148.15	Facility		$144.54	$794.33	$1,148.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $870.96 / $4,073.80	Facility		$102.33	$870.96	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $870.96 / $4,073.80	Professional		$102.33	$870.96	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $501.19 / $1,096.48	Facility		$63.10	$501.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,445.44	Professional		$676.08	$812.83	$1,445.44