Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.17 / $495.17 / $495.17	Facility		$495.17	$495.17	$495.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $495.17 / $495.17	Professional		$381.31	$495.17	$495.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $416.50 / $416.50	Professional		$416.50	$416.50	$416.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.30 / $485.30 / $582.36	Professional		$485.30	$485.30	$582.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $128.00	Professional		$108.80	$128.00	$128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $608.92 / $716.39	Professional		$537.29	$608.92	$716.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $412.76 / $559.54	Facility		$262.77	$412.76	$559.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $78.05 / $660.24	Facility		$52.88	$78.05	$660.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $88.60 / $660.24	Professional		$52.88	$88.60	$660.24
United Facility/Professional Professional Modifier Low / Median / High Price $347.77 / $398.71 / $664.51	Professional		$347.77	$398.71	$664.51