Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $107.28	Facility		$10.58	$10.58	$107.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $20.00	Professional		$10.58	$10.58	$20.00
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 $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $119.20 / $178.43	Professional		$77.98	$119.20	$178.43
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 / $90.56 / $255.54	Professional		$82.80	$90.56	$255.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $818.00 / $818.00	Professional		$818.00	$818.00	$818.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
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 $425.00 / $425.00 / $425.00	Professional		$425.00	$425.00	$425.00