Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $34.74 / $823.12	Facility		$26.05	$34.74	$823.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $633.67 / $844.91	Professional		$26.05	$633.67	$844.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $503.46 / $1,225.83	Professional		$33.64	$503.46	$1,225.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $61.85	Professional		$31.72	$31.72	$61.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.74 / $759.74 / $759.74	Professional		$759.74	$759.74	$759.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $981.25 / $1,387.05	Professional		$785.00	$981.25	$1,387.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $707.41 / $1,253.60	Facility		$34.74	$707.41	$1,253.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $1,234.68 / $1,440.46	Professional		$82.08	$1,234.68	$1,440.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $33.60 / $59.00	Facility		$16.35	$33.60	$59.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $484.78 / $903.19 / $1,399.19	Professional		$484.78	$903.19	$1,399.19
United Facility/Professional Professional Modifier Low / Median / High Price $598.91 / $903.88 / $1,422.89	Professional		$598.91	$903.88	$1,422.89