Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.10 / $719.10 / $719.10	Facility		$719.10	$719.10	$719.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.91 / $719.10 / $1,042.40	Professional		$590.91	$719.10	$1,042.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.01 / $743.01 / $743.01	Professional		$743.01	$743.01	$743.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.09 / $839.09 / $935.83	Professional		$839.09	$839.09	$935.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $840.94 / $840.94	Professional		$101.59	$840.94	$840.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.74 / $1,137.57 / $1,338.31	Professional		$1,003.74	$1,137.57	$1,338.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.90 / $554.16 / $791.65	Facility		$136.90	$554.16	$791.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $116.37 / $991.65	Facility		$76.70	$116.37	$991.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $133.15 / $991.65	Professional		$76.70	$133.15	$991.65
United Facility/Professional Professional Modifier Low / Median / High Price $402.19 / $570.79 / $866.72	Professional		$402.19	$570.79	$866.72