Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.15 / $990.15 / $990.15	Facility		$990.15	$990.15	$990.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $990.15 / $1,162.16	Professional		$775.31	$990.15	$1,162.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.83 / $974.83 / $974.83	Professional		$974.83	$974.83	$974.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,100.60 / $1,100.60 / $1,227.45	Professional		$1,100.60	$1,100.60	$1,227.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $860.04	Professional		$731.03	$860.04	$860.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,316.34 / $1,579.60 / $2,088.59	Professional		$1,316.34	$1,579.60	$2,088.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.56 / $727.16 / $1,038.80	Facility		$179.56	$727.16	$1,038.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $951.00 / $951.00	Professional		$951.00	$951.00	$951.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $160.22 / $1,320.20	Facility		$105.62	$160.22	$1,320.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $183.33 / $1,320.20	Professional		$105.62	$183.33	$1,320.20
United Facility/Professional Professional Modifier Low / Median / High Price $527.77 / $748.91 / $1,222.97	Professional		$527.77	$748.91	$1,222.97