Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $3,235.94	Facility		$173.78	$1,000.00	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $323.59	Professional		$104.71	$169.82	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $245.47	Professional		$109.65	$162.18	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $933.25 / $1,348.96	Professional		$123.03	$933.25	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $4,786.30	Facility		$316.23	$776.25	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $389.05	Professional		$123.03	$199.53	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $223.87	Professional		$93.33	$181.97	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $467.74	Professional		$295.12	$426.58	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $457.09	Facility		$112.20	$204.17	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $3,715.35	Facility		$109.65	$208.93	$3,715.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $3,715.35	Professional		$169.82	$363.08	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,981.07	Facility		$1,122.02	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $389.05	Professional		$104.71	$190.55	$389.05