Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.95 / $814.95 / $814.95	Facility		$814.95	$814.95	$814.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $814.95 / $1,028.48	Professional		$450.62	$814.95	$1,028.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.01 / $1,014.01 / $1,014.01	Professional		$1,014.01	$1,014.01	$1,014.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $972.20 / $972.20 / $972.22	Professional		$972.20	$972.20	$972.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $950.31	Facility		$833.40	$833.40	$950.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $833.40 / $944.00	Professional		$116.30	$833.40	$944.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,393.95 / $1,843.11	Professional		$1,161.63	$1,393.95	$1,843.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $814.95 / $1,354.80	Facility		$437.50	$814.95	$1,354.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,036.00 / $1,036.00 / $1,036.00	Professional		$1,036.00	$1,036.00	$1,036.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.82 / $559.90 / $1,250.78	Facility		$91.82	$559.90	$1,250.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $559.90 / $1,200.98	Professional		$91.82	$559.90	$1,200.98
United Facility/Professional Professional Modifier Low / Median / High Price $583.33 / $674.82 / $1,066.46	Professional		$583.33	$674.82	$1,066.46