Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.95 / $866.95 / $866.95	Facility		$866.95	$866.95	$866.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.61 / $866.95 / $866.95	Professional		$667.61	$866.95	$866.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.35 / $1,072.35 / $1,072.35	Professional		$1,072.35	$1,072.35	$1,072.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.10 / $812.10 / $974.52	Professional		$812.10	$812.10	$974.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $894.40	Professional		$894.40	$894.40	$894.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.70 / $1,066.11 / $1,254.26	Professional		$940.70	$1,066.11	$1,254.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $722.66 / $979.65	Facility		$460.08	$722.66	$979.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $903.00 / $903.00	Professional		$903.00	$903.00	$903.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $135.04 / $1,155.94	Facility		$92.39	$135.04	$1,155.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $155.12 / $1,155.94	Professional		$92.39	$155.12	$1,155.94
United Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $704.39 / $1,162.59	Professional		$609.29	$704.39	$1,162.59