Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.62 / $263.62 / $1,053.34	Facility		$263.62	$263.62	$1,053.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $299.83 / $299.83	Professional		$263.62	$299.83	$299.83
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 $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $308.42 / $461.67	Professional		$201.80	$308.42	$461.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $116.42 / $181.61	Facility		$61.27	$116.42	$181.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $31.33 / $136.81	Professional		$28.65	$31.33	$136.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.62 / $299.83 / $381.65	Facility		$263.62	$299.83	$381.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $283.50 / $283.50	Professional		$283.50	$283.50	$283.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.40 / $389.40 / $389.40	Professional		$389.40	$389.40	$389.40