Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.83 / $618.83 / $618.83	Facility		$618.83	$618.83	$618.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.54 / $618.83 / $618.83	Professional		$476.54	$618.83	$618.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $611.10	Professional		$611.10	$611.10	$611.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $621.00 / $745.20	Professional		$621.00	$621.00	$745.20
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 $671.47 / $761.00 / $895.29	Professional		$671.47	$761.00	$895.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $515.83 / $699.28	Facility		$328.38	$515.83	$699.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $101.43 / $825.12	Facility		$65.95	$101.43	$825.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $110.73 / $825.12	Professional		$65.95	$110.73	$825.12
United Facility/Professional Professional Modifier Low / Median / High Price $434.81 / $507.52 / $830.46	Professional		$434.81	$507.52	$830.46