Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $741.31	Facility		$630.96	$630.96	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $954.99	Professional		$588.84	$741.31	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,096.48	Professional		$851.14	$851.14	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Facility		$741.31	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $741.31 / $776.25	Professional		$107.15	$741.31	$776.25
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 $125.89 / $630.96 / $1,000.00	Facility		$125.89	$630.96	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $741.31 / $4,073.80	Facility		$91.20	$741.31	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $741.31 / $4,073.80	Professional		$91.20	$741.31	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $416.87 / $831.76	Facility		$53.70	$416.87	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,258.93	Professional		$562.34	$616.60	$1,258.93