Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.65 / $889.65 / $889.65	Facility		$889.65	$889.65	$889.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.58 / $889.65 / $1,004.40	Professional		$621.58	$889.65	$1,004.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $781.38 / $781.38	Professional		$781.38	$781.38	$781.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.98 / $749.98 / $836.43	Professional		$749.98	$749.98	$836.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $200.00 / $200.00	Professional		$98.81	$200.00	$200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.21 / $1,195.91 / $1,406.95	Professional		$1,055.21	$1,195.91	$1,406.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $582.90 / $889.65	Facility		$143.94	$582.90	$889.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $143.94 / $1,186.20	Facility		$94.90	$143.94	$1,186.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $164.72 / $1,186.20	Professional		$94.90	$164.72	$1,186.20
United Facility/Professional Professional Modifier Low / Median / High Price $422.99 / $600.41 / $911.53	Professional		$422.99	$600.41	$911.53