Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.38 / $339.38 / $339.38	Facility		$339.38	$339.38	$339.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.38 / $408.09 / $626.96	Professional		$339.38	$408.09	$626.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $408.43 / $408.43	Professional		$408.43	$408.43	$408.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $478.50 / $523.04	Professional		$478.50	$478.50	$523.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $654.75 / $766.38	Facility		$654.75	$654.75	$766.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $654.75 / $766.38	Professional		$49.75	$654.75	$766.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.43 / $486.51 / $643.28	Professional		$405.43	$486.51	$643.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $511.16 / $654.99	Facility		$56.43	$511.16	$654.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,120.00	Professional		$1,120.00	$1,120.00	$1,120.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.46 / $145.41 / $1,192.70	Facility		$38.46	$145.41	$1,192.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $153.74 / $1,192.70	Professional		$38.46	$153.74	$1,192.70
United Facility/Professional Professional Modifier Low / Median / High Price $374.49 / $439.90 / $679.34	Professional		$374.49	$439.90	$679.34