Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $933.25	Professional		$741.31	$741.31	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,019.95	Professional		$1,778.28	$1,778.28	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,258.93	Professional		$741.31	$741.31	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Facility		$691.83	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $1,995.26	Professional		$120.23	$173.78	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $2,238.72	Facility		$741.31	$776.25	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $741.31 / $741.31	Professional		$109.65	$741.31	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,778.28	Facility		$831.76	$1,047.13	$1,778.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,778.28	Professional		$831.76	$1,047.13	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $933.25 / $1,862.09	Professional		$125.89	$933.25	$1,862.09