Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $835.90 / $1,824.34	Facility		$796.09	$835.90	$1,824.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $835.90 / $835.90	Professional		$796.09	$835.90	$835.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.64 / $1,039.45 / $1,777.81	Professional		$733.64	$1,039.45	$1,777.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $751.03 / $796.09	Facility		$751.03	$751.03	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $796.09 / $1,051.32	Professional		$597.07	$796.09	$1,051.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $835.90 / $939.35	Facility		$796.09	$835.90	$939.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.33 / $796.09 / $1,138.60	Professional		$398.33	$796.09	$1,138.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $756.29 / $808.03 / $1,019.00	Facility		$756.29	$808.03	$1,019.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $756.29 / $808.03 / $1,019.00	Professional		$756.29	$808.03	$1,019.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $844.57	Professional		$318.44	$796.09	$844.57