Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $83.84 / $95.63	Professional		$58.00	$83.84	$95.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $68.76 / $93.75	Professional		$53.77	$68.76	$93.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,013.00 / $1,013.00	Professional		$1,013.00	$1,013.00	$1,013.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $256.79 / $385.19	Facility		$98.46	$256.79	$385.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Facility		$4,071.00	$4,071.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Professional		$4,071.00	$4,071.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $102.27 / $161.91	Professional		$71.23	$102.27	$161.91