Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.15 / $549.15 / $896.80	Facility		$549.15	$549.15	$896.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.15 / $753.66 / $1,004.88	Professional		$549.15	$753.66	$1,004.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $860.96	Professional		$700.20	$700.20	$860.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,055.68 / $3,055.68 / $3,055.68	Professional		$3,055.68	$3,055.68	$3,055.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.46 / $1,042.72 / $1,263.13	Professional		$789.46	$1,042.72	$1,263.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $667.44 / $1,147.90	Facility		$89.68	$667.44	$1,147.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $189.35 / $1,880.00	Professional		$124.77	$189.35	$1,880.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $167.00 / $2,116.92	Facility		$71.05	$167.00	$2,116.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $166.40 / $2,116.92	Professional		$71.05	$166.40	$2,116.92
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $82.06 / $270.55	Professional		$60.85	$82.06	$270.55