Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.17 / $617.17 / $617.17	Facility		$617.17	$617.17	$617.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $617.17 / $790.96	Professional		$448.52	$617.17	$790.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.30 / $773.30 / $773.30	Professional		$773.30	$773.30	$773.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $827.80 / $827.80 / $827.80	Professional		$827.80	$827.80	$827.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.42 / $2,355.54 / $2,355.54	Facility		$1,013.42	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $2,355.54 / $2,355.54	Professional		$77.09	$2,355.54	$2,355.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.41 / $913.69 / $1,015.21	Professional		$761.41	$913.69	$1,015.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $475.43 / $686.67	Facility		$64.67	$475.43	$686.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $649.64 / $649.64 / $649.64	Professional		$649.64	$649.64	$649.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $114.28 / $822.90	Facility		$65.83	$114.28	$822.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $114.28 / $822.90	Professional		$65.83	$114.28	$822.90
United Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $441.26 / $722.09	Professional		$397.71	$441.26	$722.09