Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.83 / $792.83 / $792.83	Facility		$792.83	$792.83	$792.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.24 / $792.83 / $1,104.32	Professional		$626.24	$792.83	$1,104.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $694.20 / $694.20	Professional		$694.20	$694.20	$694.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $888.93 / $888.93 / $991.41	Professional		$888.93	$888.93	$991.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $999.36	Professional		$849.46	$999.36	$999.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.31 / $1,210.00 / $1,417.74	Professional		$1,063.31	$1,210.00	$1,417.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.03 / $587.33 / $839.04	Facility		$145.03	$587.33	$839.04
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 $84.57 / $128.27 / $1,069.31	Facility		$84.57	$128.27	$1,069.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $146.79 / $1,069.31	Professional		$84.57	$146.79	$1,069.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $604.92 / $813.50	Professional		$426.25	$604.92	$813.50