Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $696.81 / $696.81	Facility		$663.63	$696.81	$696.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $696.81	Professional		$663.63	$663.63	$696.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $889.52	Professional		$663.63	$663.63	$889.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $272.00 / $272.00	Professional		$272.00	$272.00	$272.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $626.05 / $663.63	Facility		$626.05	$626.05	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $663.63 / $899.91	Professional		$564.09	$663.63	$899.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $696.81 / $1,119.26	Facility		$663.63	$696.81	$1,119.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $1,245.00 / $1,512.00	Professional		$663.63	$1,245.00	$1,512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $847.05 / $982.58 / $1,761.61	Facility		$847.05	$982.58	$1,761.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $847.05 / $982.58 / $1,761.61	Professional		$847.05	$982.58	$1,761.61
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $743.27	Professional		$663.63	$663.63	$743.27