Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $292.50	Professional		$150.00	$150.00	$292.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $254.40 / $405.60	Facility		$240.00	$254.40	$405.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $330.48 / $335.00 / $335.00	Professional		$330.48	$335.00	$335.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Facility		$7,420.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Professional		$7,420.00	$9,929.00	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $327.78 / $485.48	Professional		$202.72	$327.78	$485.48