Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $229.09	Facility		$131.83	$131.83	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $229.09	Professional		$131.83	$131.83	$229.09
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 $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $275.42	Professional		$117.49	$199.53	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $162.18	Facility		$52.48	$117.49	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $31.62	Professional		$28.84	$28.84	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $245.47	Facility		$131.83	$131.83	$245.47
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 $20.89 / $51.29 / $251.19	Facility		$20.89	$51.29	$251.19