Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $891.25	Facility		$549.54	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,000.00	Professional		$501.19	$812.83	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,096.48	Professional		$724.44	$724.44	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,288.25	Professional		$812.83	$1,047.13	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $794.33 / $1,513.56	Facility		$109.65	$794.33	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $125.89	Professional		$58.88	$125.89	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $1,995.26	Facility		$75.86	$181.97	$1,995.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $1,995.26	Professional		$75.86	$181.97	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $1,380.38	Facility		$77.62	$95.50	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $501.19	Professional		$60.26	$107.15	$501.19