Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $812.83	Professional		$524.81	$758.58	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $741.31 / $741.31	Professional		$91.20	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,202.26	Professional		$912.01	$1,023.29	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $489.78 / $758.58	Facility		$112.20	$489.78	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $1,000.00	Facility		$79.43	$144.54	$1,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $1,000.00	Professional		$79.43	$144.54	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $309.03 / $676.08	Facility		$40.74	$309.03	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $851.14	Professional		$354.81	$512.86	$851.14