Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $776.25	Professional		$407.38	$501.19	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $724.44	Facility		$616.60	$616.60	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $616.60 / $616.60	Professional		$69.18	$616.60	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $891.25	Professional		$588.84	$660.69	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $478.63 / $616.60	Facility		$85.11	$478.63	$616.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $1,122.02	Facility		$60.26	$144.54	$1,122.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $1,122.02	Professional		$60.26	$144.54	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $323.59 / $524.81	Facility		$51.29	$323.59	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $724.44	Professional		$346.74	$416.87	$724.44