Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.55 / $863.55 / $863.55	Facility		$863.55	$863.55	$863.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.90 / $863.55 / $1,165.35	Professional		$660.90	$863.55	$1,165.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $830.84 / $830.84	Professional		$830.84	$830.84	$830.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $797.37 / $797.37 / $889.28	Professional		$797.37	$797.37	$889.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $469.00 / $469.00	Professional		$113.58	$469.00	$469.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.01 / $1,346.41 / $1,499.00	Professional		$1,122.01	$1,346.41	$1,499.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $619.77 / $885.38	Facility		$139.72	$619.77	$885.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Professional		$1,100.00	$1,100.00	$1,100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $139.72 / $1,191.08	Facility		$92.11	$139.72	$1,191.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $159.88 / $1,191.08	Professional		$92.11	$159.88	$1,191.08
United Facility/Professional Professional Modifier Low / Median / High Price $449.69 / $638.40 / $1,042.34	Professional		$449.69	$638.40	$1,042.34