Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.83 / $909.83 / $909.83	Facility		$909.83	$909.83	$909.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.04 / $909.83 / $1,163.20	Professional		$747.04	$909.83	$1,163.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,189.97 / $1,189.97 / $1,189.97	Professional		$1,189.97	$1,189.97	$1,189.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,056.26 / $1,056.26 / $1,056.26	Professional		$1,056.26	$1,056.26	$1,056.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,061.01	Facility		$642.26	$642.26	$1,061.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $661.53	Professional		$545.91	$642.26	$661.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,352.20 / $1,622.63 / $2,145.48	Professional		$1,352.20	$1,622.63	$2,145.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $909.83 / $1,512.60	Facility		$513.41	$909.83	$1,512.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,409.38 / $1,409.38 / $1,409.38	Professional		$1,409.38	$1,409.38	$1,409.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $173.97 / $1,467.82	Facility		$100.67	$173.97	$1,467.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $167.79 / $1,409.38	Professional		$97.05	$167.79	$1,409.38
United Facility/Professional Professional Modifier Low / Median / High Price $674.03 / $772.98 / $1,221.70	Professional		$674.03	$772.98	$1,221.70