Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,819.70	Professional		$549.54	$549.54	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,630.78	Professional		$2,137.96	$2,137.96	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,365.16	Professional		$1,000.00	$1,000.00	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $2,398.83	Professional		$120.23	$173.78	$2,398.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $588.84 / $2,691.53	Facility		$549.54	$588.84	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $549.54 / $1,000.00	Professional		$109.65	$549.54	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $1,862.09	Facility		$131.83	$173.78	$1,862.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,862.09	Professional		$131.83	$173.78	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,137.96 / $2,691.53	Professional		$125.89	$2,137.96	$2,691.53