Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $5,048.00 / $8,294.00	Facility		$367.50	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $199.61 / $281.64	Professional		$160.74	$199.61	$281.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,035.91 / $1,035.91 / $3,426.00	Professional		$1,035.91	$1,035.91	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $2,493.59 / $2,493.59	Professional		$294.77	$2,493.59	$2,493.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $672.53	Facility		$367.50	$367.50	$672.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $477.00 / $477.00	Professional		$451.35	$477.00	$477.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $419.23 / $2,039.00 / $9,929.00	Facility		$419.23	$2,039.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $419.23 / $2,039.00 / $9,929.00	Professional		$419.23	$2,039.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,889.00	Facility		$1,911.00	$3,276.00	$5,889.00