Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.54 / $529.54 / $529.54	Facility		$529.54	$529.54	$529.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.79 / $529.54 / $529.54	Professional		$407.79	$529.54	$529.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $611.08 / $611.08	Professional		$611.08	$611.08	$611.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $513.50 / $513.50 / $616.20	Professional		$513.50	$513.50	$616.20
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 $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.60 / $689.52 / $818.00	Professional		$574.60	$689.52	$818.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $441.41 / $598.39	Facility		$281.01	$441.41	$598.39
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 $51.46 / $82.81 / $706.08	Facility		$51.46	$82.81	$706.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $94.76 / $706.08	Professional		$51.46	$94.76	$706.08
United Facility/Professional Professional Modifier Low / Median / High Price $372.02 / $426.39 / $572.88	Professional		$372.02	$426.39	$572.88