Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.78 / $794.78 / $794.78	Facility		$794.78	$794.78	$794.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.04 / $794.78 / $1,015.52	Professional		$461.04	$794.78	$1,015.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.47 / $1,037.47 / $1,037.47	Professional		$1,037.47	$1,037.47	$1,037.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $994.70 / $994.70 / $994.70	Professional		$994.70	$994.70	$994.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $926.82	Facility		$867.37	$867.37	$926.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $893.39	Professional		$737.26	$867.37	$893.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.29 / $1,417.55 / $1,874.32	Professional		$1,181.29	$1,417.55	$1,874.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.62 / $692.31 / $1,321.30	Facility		$447.62	$692.31	$1,321.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Professional		$1,053.00	$1,053.00	$1,053.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $151.88 / $1,267.04	Facility		$87.77	$151.88	$1,267.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $151.88 / $1,228.75	Professional		$87.77	$151.88	$1,228.75
United Facility/Professional Professional Modifier Low / Median / High Price $596.82 / $674.46 / $994.70	Professional		$596.82	$674.46	$994.70