Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.53 / $891.53 / $891.53	Facility		$891.53	$891.53	$891.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.65 / $891.53 / $1,292.24	Professional		$732.65	$891.53	$1,292.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.25 / $812.25 / $812.25	Professional		$812.25	$812.25	$812.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $975.36 / $975.36 / $1,149.11	Professional		$975.36	$975.36	$1,149.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $886.07 / $1,042.44	Professional		$119.94	$886.07	$1,042.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,244.04 / $1,409.91 / $1,658.72	Professional		$1,244.04	$1,409.91	$1,658.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $687.34 / $981.92	Facility		$168.10	$687.34	$981.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $903.00 / $903.00	Professional		$903.00	$903.00	$903.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $144.25 / $1,188.70	Facility		$95.10	$144.25	$1,188.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $165.07 / $1,188.70	Professional		$95.10	$165.07	$1,188.70
United Facility/Professional Professional Modifier Low / Median / High Price $498.82 / $707.71 / $1,155.71	Professional		$498.82	$707.71	$1,155.71