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 $660.46 / $814.95 / $1,028.48	Professional		$660.46	$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 $873.90 / $873.90 / $920.78	Professional		$873.90	$873.90	$920.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $950.31	Facility		$795.00	$795.00	$950.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $818.85	Professional		$675.75	$795.00	$818.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,393.95 / $1,548.84	Professional		$1,161.63	$1,393.95	$1,548.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $669.79 / $839.00	Facility		$98.66	$669.79	$839.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $456.00	Professional		$456.00	$456.00	$456.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $153.80 / $1,086.59	Facility		$86.93	$153.80	$1,086.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $153.80 / $1,086.59	Professional		$86.93	$153.80	$1,086.59
United Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $668.58 / $888.72	Professional		$484.44	$668.58	$888.72