Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.20 / $592.20 / $966.70	Facility		$592.20	$592.20	$966.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $792.57 / $1,090.16	Professional		$592.20	$792.57	$1,090.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $806.67 / $1,081.26	Professional		$806.67	$806.67	$1,081.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,297.96 / $3,297.96 / $3,297.96	Professional		$3,297.96	$3,297.96	$3,297.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $1,109.94 / $1,368.93	Professional		$840.35	$1,109.94	$1,368.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $651.41 / $1,224.81	Facility		$96.67	$651.41	$1,224.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.10 / $204.98 / $2,050.00	Professional		$137.10	$204.98	$2,050.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $167.37 / $2,312.40	Facility		$76.70	$167.37	$2,312.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $173.68 / $2,326.55	Professional		$76.70	$173.68	$2,326.55
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $89.71 / $289.58	Professional		$65.62	$89.71	$289.58