Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,230.27	Professional		$724.44	$724.44	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $1,995.26	Professional		$1,071.52	$1,778.28	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $1,258.93	Facility		$724.44	$870.96	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $891.25	Professional		$851.14	$891.25	$891.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,096.48	Facility		$707.95	$851.14	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,096.48	Professional		$707.95	$851.14	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26