Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $302.00	Facility		$263.03	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $346.74	Professional		$263.03	$302.00	$346.74
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 $107.15 / $107.15 / $181.97	Professional		$107.15	$107.15	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $478.63	Professional		$199.53	$346.74	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $173.78	Facility		$52.48	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $138.04	Professional		$28.84	$31.62	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $380.19	Facility		$281.84	$302.00	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,000.00 / $10,964.78	Facility		$7,413.10	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $10,000.00 / $10,964.78	Professional		$7,413.10	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $323.59	Facility		$30.90	$51.29	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05