Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,230.27	Professional		$794.33	$977.24	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Professional		$1,202.26	$1,202.26	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,148.15	Facility		$912.01	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $912.01 / $912.01	Professional		$138.04	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,905.46	Professional		$1,412.54	$1,621.81	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,202.26	Professional		$933.25	$933.25	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,659.59	Facility		$512.86	$912.01	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $660.69 / $1,445.44	Facility		$104.71	$660.69	$1,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $660.69 / $1,412.54	Professional		$104.71	$660.69	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $537.03 / $1,047.13	Facility		$67.61	$537.03	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,258.93	Professional		$691.83	$794.33	$1,258.93