Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.80 / $5,048.00 / $10,767.00	Facility		$417.80	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $391.49 / $417.93	Professional		$250.80	$391.49	$417.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $6,433.00 / $8,031.00	Professional		$346.00	$6,433.00	$8,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $640.00	Facility		$419.90	$419.90	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.90 / $444.03 / $513.41	Professional		$346.90	$444.03	$513.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.85 / $417.80 / $665.74	Facility		$303.85	$417.80	$665.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $639.35 / $857.40	Professional		$503.00	$639.35	$857.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $378.55 / $498.14 / $1,762.37	Facility		$378.55	$498.14	$1,762.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $378.55 / $498.14 / $1,762.37	Professional		$378.55	$498.14	$1,762.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $462.46 / $750.33	Professional		$292.45	$462.46	$750.33