Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,202.26	Professional		$954.99	$1,000.00	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,819.70	Professional		$954.99	$954.99	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $707.95	Professional		$120.23	$173.78	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,122.02 / $1,621.81	Facility		$190.55	$1,122.02	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,202.26 / $1,202.26	Professional		$109.65	$1,202.26	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $630.96 / $794.33	Professional		$125.89	$630.96	$794.33