Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.45 / $879.45 / $879.45	Facility		$879.45	$879.45	$879.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.47 / $879.45 / $1,083.59	Professional		$614.47	$879.45	$1,083.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $772.45 / $772.45	Professional		$772.45	$772.45	$772.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $872.27 / $872.27 / $972.79	Professional		$872.27	$872.27	$972.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $450.00 / $450.00	Professional		$105.60	$450.00	$450.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.06 / $1,251.68 / $1,508.00	Professional		$1,043.06	$1,251.68	$1,508.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $576.27 / $879.45	Facility		$142.31	$576.27	$879.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional		$1,050.00	$1,050.00	$1,050.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $142.31 / $1,172.59	Facility		$93.81	$142.31	$1,172.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $162.84 / $1,172.59	Professional		$93.81	$162.84	$1,172.59
United Facility/Professional Professional Modifier Low / Median / High Price $418.09 / $593.54 / $900.99	Professional		$418.09	$593.54	$900.99