Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.28 / $961.28 / $961.28	Facility		$961.28	$961.28	$961.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.76 / $961.28 / $1,136.00	Professional		$757.76	$961.28	$1,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $961.80 / $961.80	Professional		$961.80	$961.80	$961.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,075.83 / $1,075.83 / $1,199.80	Professional		$1,075.83	$1,075.83	$1,199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $1,223.23	Professional		$124.05	$1,223.23	$1,223.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.55 / $1,458.09 / $1,715.40	Professional		$1,286.55	$1,458.09	$1,715.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.51 / $710.94 / $1,015.63	Facility		$175.51	$710.94	$1,015.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.00 / $851.00 / $851.00	Professional		$851.00	$851.00	$851.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $155.54 / $1,320.16	Facility		$102.54	$155.54	$1,320.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $177.98 / $1,320.16	Professional		$102.54	$177.98	$1,320.16
United Facility/Professional Professional Modifier Low / Median / High Price $515.94 / $731.96 / $984.71	Professional		$515.94	$731.96	$984.71