Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $236.29 / $896.54	Facility		$144.04	$236.29	$896.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $236.29 / $896.54	Professional		$89.79	$236.29	$896.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.67 / $212.80 / $360.80	Professional		$165.67	$212.80	$360.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,490.00 / $1,981.00 / $2,413.00	Professional		$1,490.00	$1,981.00	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.06 / $229.03 / $286.29	Professional		$189.06	$229.03	$286.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $236.29 / $968.26	Facility		$144.04	$236.29	$968.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.35 / $1,231.35 / $1,803.36	Professional		$327.35	$1,231.35	$1,803.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $474.60 / $1,608.32	Facility		$128.66	$474.60	$1,608.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $523.74 / $1,608.32	Professional		$185.75	$523.74	$1,608.32
United Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $176.13 / $423.64	Professional		$57.14	$176.13	$423.64