Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $109.65	Facility		$81.28	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $117.49	Professional		$83.18	$91.20	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $309.03	Facility		$199.53	$257.04	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $56.23	Professional		$33.11	$33.11	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $309.03	Professional		$128.82	$223.87	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $154.88	Facility		$52.48	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $131.83	Professional		$28.84	$31.62	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $109.65	Facility		$81.28	$91.20	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $10,000.00 / $10,964.78	Facility		$72.44	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $10,000.00 / $10,964.78	Professional		$72.44	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $251.19	Facility		$30.90	$51.29	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98