Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.70 / $167.70 / $310.50	Facility		$167.70	$167.70	$310.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $217.46 / $217.46	Professional		$167.70	$217.46	$217.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $260.30 / $389.65	Professional		$170.32	$260.30	$389.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $244.45 / $482.26	Facility		$105.78	$244.45	$482.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $90.56	Professional		$82.80	$82.80	$90.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $277.00 / $277.00	Professional		$277.00	$277.00	$277.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $217.46 / $217.46	Facility		$94.52	$217.46	$217.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $173.25 / $173.25	Professional		$173.25	$173.25	$173.25
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 $237.60 / $237.60 / $237.60	Professional		$237.60	$237.60	$237.60