Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $758.58	Professional		$489.78	$707.95	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $426.58 / $426.58	Professional		$85.11	$426.58	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,122.02	Professional		$851.14	$954.99	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $457.09 / $707.95	Facility		$114.82	$457.09	$707.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $933.25	Facility		$74.13	$134.90	$933.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $933.25	Professional		$74.13	$134.90	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $630.96	Facility		$38.02	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $794.33	Professional		$331.13	$467.74	$794.33