Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.80 / $877.80 / $877.80	Facility		$877.80	$877.80	$877.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.14 / $877.80 / $1,081.44	Professional		$613.14	$877.80	$1,081.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $771.09 / $771.09	Professional		$771.09	$771.09	$771.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $739.97 / $739.97 / $825.23	Professional		$739.97	$739.97	$825.23
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 $1,041.04 / $1,179.84 / $1,388.05	Professional		$1,041.04	$1,179.84	$1,388.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.02 / $575.29 / $877.80	Facility		$142.02	$575.29	$877.80
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 $93.63 / $162.53 / $1,170.40	Facility		$93.63	$162.53	$1,170.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $573.29 / $1,170.40	Professional		$93.63	$573.29	$1,170.40
United Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $592.27 / $828.27	Professional		$417.48	$592.27	$828.27