Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,174.90	Professional		$912.01	$912.01	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Professional		$1,348.96	$1,348.96	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,023.29	Professional		$588.84	$588.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Facility		$870.96	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $1,513.56	Professional		$120.23	$173.78	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $1,659.59	Facility		$537.03	$954.99	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $912.01 / $912.01	Professional		$109.65	$912.01	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $1,023.29	Facility		$478.63	$602.56	$1,023.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,023.29	Professional		$478.63	$602.56	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $489.78 / $1,659.59	Professional		$125.89	$489.78	$1,659.59