Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $379.60 / $716.00	Facility		$150.00	$379.60	$716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $164.00 / $170.00	Professional		$150.00	$164.00	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $983.00	Facility		$200.00	$200.00	$983.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $130.00	Professional		$80.00	$80.00	$130.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $429.00 / $1,940.22	Professional		$220.00	$429.00	$1,940.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $457.83 / $907.00	Facility		$130.00	$457.83	$907.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $121.36 / $330.00	Professional		$98.61	$121.36	$330.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $296.00	Professional		$200.00	$240.00	$296.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.50 / $230.00 / $340.00	Facility		$166.50	$230.00	$340.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $274.00 / $480.00	Professional		$200.00	$274.00	$480.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $240.40 / $9,929.00	Facility		$164.00	$240.40	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $240.40 / $9,929.00	Professional		$164.00	$240.40	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $230.00	Professional		$84.00	$120.00	$230.00