Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,023.29	Professional		$676.08	$812.83	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,096.48	Professional		$1,023.29	$1,023.29	$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 $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $812.83	Professional		$676.08	$794.33	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,584.89	Professional		$1,174.90	$1,348.96	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $549.54 / $831.76	Facility		$97.72	$549.54	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $1,096.48	Facility		$87.10	$158.49	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $1,096.48	Professional		$87.10	$158.49	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $363.08 / $891.25	Facility		$44.67	$363.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $977.24	Professional		$489.78	$676.08	$977.24