Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $315.00 / $499.50	Facility		$127.50	$315.00	$499.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $123.00 / $127.50	Professional		$112.50	$123.00	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $737.25	Facility		$150.00	$150.00	$737.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $96.44	Professional		$60.00	$60.00	$96.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $135.60 / $234.00	Professional		$116.11	$135.60	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $330.58 / $679.88	Facility		$97.50	$330.58	$679.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $91.12 / $247.78	Professional		$73.91	$91.12	$247.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $222.00	Professional		$150.00	$180.00	$222.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $201.00 / $255.00	Facility		$127.50	$201.00	$255.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $210.00 / $360.00	Professional		$150.00	$210.00	$360.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $180.30 / $9,929.00	Facility		$123.00	$180.30	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $180.30 / $9,929.00	Professional		$123.00	$180.30	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.00 / $172.50	Professional		$63.00	$75.00	$172.50