Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.85 / $623.25 / $623.25	Facility		$437.85	$623.25	$623.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.85 / $623.25 / $829.52	Professional		$437.85	$623.25	$829.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $692.28 / $692.28	Professional		$692.28	$692.28	$692.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $871.20 / $871.20 / $871.20	Professional		$871.20	$871.20	$871.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $846.27	Facility		$546.85	$546.85	$846.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $739.60 / $739.60	Professional		$81.44	$739.60	$739.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.45 / $989.33 / $1,308.11	Professional		$824.45	$989.33	$1,308.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $437.85 / $623.25	Facility		$91.72	$437.85	$623.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,201.90 / $1,201.90 / $1,201.90	Professional		$1,201.90	$1,201.90	$1,201.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $147.25 / $1,269.25	Facility		$70.64	$147.25	$1,269.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $147.25 / $1,269.25	Professional		$70.64	$147.25	$1,269.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $62.16 / $659.56	Professional		$51.01	$62.16	$659.56