Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $333.90 / $333.90	Facility		$318.00	$333.90	$333.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $333.90	Professional		$318.00	$318.00	$333.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $427.01	Professional		$318.00	$318.00	$427.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $250.47 / $783.83	Professional		$250.47	$250.47	$783.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $318.00	Facility		$300.00	$300.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $318.00 / $1,307.33	Professional		$270.30	$318.00	$1,307.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $333.90 / $611.04	Facility		$318.00	$333.90	$611.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.00 / $1,375.00 / $1,874.76	Professional		$501.00	$1,375.00	$1,874.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.31 / $892.76 / $1,614.72	Facility		$776.31	$892.76	$1,614.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.31 / $892.76 / $1,614.72	Professional		$776.31	$892.76	$1,614.72
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $339.31	Professional		$318.00	$318.00	$339.31