Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.55 / $857.55 / $857.55	Facility		$857.55	$857.55	$857.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.13 / $857.55 / $1,068.56	Professional		$688.13	$857.55	$1,068.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.06 / $1,033.06 / $1,033.06	Professional		$1,033.06	$1,033.06	$1,033.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $990.48 / $990.48 / $990.50	Professional		$990.48	$990.48	$990.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $606.51	Facility		$606.51	$606.51	$606.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $606.51 / $606.51	Professional		$122.23	$606.51	$606.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.21 / $1,371.57 / $1,613.61	Professional		$1,210.21	$1,371.57	$1,613.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $747.17 / $1,403.30	Facility		$445.72	$747.17	$1,403.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,049.00 / $1,049.00 / $1,049.00	Professional		$1,049.00	$1,049.00	$1,049.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $584.40 / $1,261.66	Facility		$91.47	$584.40	$1,261.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $584.40 / $1,223.53	Professional		$91.47	$584.40	$1,223.53
United Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $698.58 / $955.52	Professional		$594.29	$698.58	$955.52