Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $758.58	Professional		$436.52	$645.65	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $363.08	Professional		$309.03	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,148.15	Professional		$724.44	$812.83	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $724.44	Facility		$346.74	$549.54	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $870.96	Facility		$63.10	$123.03	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $870.96	Professional		$63.10	$123.03	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $354.81 / $707.95	Facility		$39.81	$354.81	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $912.01	Professional		$457.09	$524.81	$912.01