Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.13 / $847.13 / $847.13	Facility		$847.13	$847.13	$847.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.80 / $847.13 / $907.28	Professional		$591.80	$847.13	$907.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $744.13 / $744.13	Professional		$744.13	$744.13	$744.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $786.45 / $786.45 / $877.10	Professional		$786.45	$786.45	$877.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $305.64 / $359.59	Professional		$94.09	$305.64	$359.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.89 / $1,138.88 / $1,339.86	Professional		$1,004.89	$1,138.88	$1,339.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $555.14 / $847.13	Facility		$137.06	$555.14	$847.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $137.06 / $1,129.50	Facility		$90.36	$137.06	$1,129.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $156.85 / $1,129.50	Professional		$90.36	$156.85	$1,129.50
United Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $571.66 / $933.69	Professional		$402.80	$571.66	$933.69