Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.95 / $904.95 / $904.95	Facility		$904.95	$904.95	$904.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.67 / $904.95 / $1,002.16	Professional		$666.67	$904.95	$1,002.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.37 / $838.37 / $838.37	Professional		$838.37	$838.37	$838.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $946.54 / $946.54 / $1,055.59	Professional		$946.54	$946.54	$1,055.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $707.88 / $707.88	Professional		$114.60	$707.88	$707.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.13 / $1,283.08 / $1,509.51	Professional		$1,132.13	$1,283.08	$1,509.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $625.41 / $904.95	Facility		$154.41	$625.41	$904.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $146.41 / $1,206.59	Facility		$96.53	$146.41	$1,206.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $167.55 / $1,206.59	Professional		$96.53	$167.55	$1,206.59
United Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $643.98 / $1,051.76	Professional		$453.77	$643.98	$1,051.76