Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.10 / $692.10 / $692.10	Facility		$692.10	$692.10	$692.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.62 / $692.10 / $852.72	Professional		$483.62	$692.10	$852.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $608.02 / $608.02	Professional		$608.02	$608.02	$608.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $633.50 / $633.50 / $706.51	Professional		$633.50	$633.50	$706.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $687.90 / $687.90	Professional		$83.10	$687.90	$687.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.98 / $930.44 / $1,094.63	Professional		$820.98	$930.44	$1,094.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $453.64 / $692.10	Facility		$111.98	$453.64	$692.10
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 $73.81 / $111.98 / $922.80	Facility		$73.81	$111.98	$922.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $128.15 / $922.80	Professional		$73.81	$128.15	$922.80
United Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $467.16 / $709.46	Professional		$329.21	$467.16	$709.46