Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.85 / $410.85 / $410.85	Facility		$410.85	$410.85	$410.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $410.85 / $514.72	Professional		$322.12	$410.85	$514.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $199.89 / $199.89	Professional		$199.89	$199.89	$199.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $539.00 / $539.00	Professional		$539.00	$539.00	$539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $493.02	Facility		$450.88	$450.88	$493.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $450.88 / $464.41	Professional		$58.34	$450.88	$464.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.40 / $776.54 / $968.00	Professional		$582.40	$776.54	$968.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $330.88 / $464.26	Facility		$47.43	$330.88	$464.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $553.99 / $553.99 / $553.99	Professional		$553.99	$553.99	$553.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $78.04 / $559.53	Facility		$38.35	$78.04	$559.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $78.04 / $559.53	Professional		$38.35	$78.04	$559.53
United Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $229.57 / $557.46	Facility		$28.17	$229.57	$557.46
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $339.24 / $544.32	Professional		$282.52	$339.24	$544.32