Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $354.81	Facility		$89.13	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $177.83	Professional		$114.82	$169.82	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $67.61	Facility		$15.85	$43.65	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $162.18	Facility		$91.20	$97.72	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $10,964.78	Facility		$4,073.80	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $10,964.78	Professional		$4,073.80	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $177.83	Facility		$51.29	$56.23	$177.83