Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $81.22 / $294.57	Facility		$81.22	$81.22	$294.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $105.00 / $120.00	Professional		$81.22	$105.00	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $43.14	Professional		$33.32	$33.32	$43.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $198.45 / $297.06	Professional		$129.85	$198.45	$297.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $84.85 / $167.13	Facility		$61.27	$84.85	$167.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $31.33 / $132.16	Professional		$28.65	$31.33	$132.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $305.00 / $305.00	Professional		$305.00	$305.00	$305.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $90.98 / $111.00	Facility		$81.22	$90.98	$111.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $163.80 / $163.80	Professional		$163.80	$163.80	$163.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $4,071.00 / $10,945.00	Facility		$72.30	$4,071.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $4,071.00 / $10,945.00	Professional		$72.30	$4,071.00	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Facility		$21.68	$21.68	$21.68
United Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00