Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.30 / $771.30 / $771.30	Facility		$771.30	$771.30	$771.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $771.30 / $950.32	Professional		$538.72	$771.30	$950.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $677.51 / $677.51	Professional		$677.51	$677.51	$677.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $764.96 / $764.96 / $853.16	Professional		$764.96	$764.96	$853.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $651.64 / $766.64	Professional		$85.66	$651.64	$766.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.96 / $1,097.95 / $1,323.00	Professional		$914.96	$1,097.95	$1,323.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $505.50 / $771.30	Facility		$124.81	$505.50	$771.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $602.00 / $602.00	Professional		$602.00	$602.00	$602.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.27 / $124.81 / $1,028.40	Facility		$82.27	$124.81	$1,028.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $142.82 / $1,028.40	Professional		$82.27	$142.82	$1,028.40
United Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $517.03 / $790.28	Professional		$366.73	$517.03	$790.28