Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $562.34	Facility		$302.00	$302.00	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,258.93	Professional		$302.00	$302.00	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $154.88	Professional		$63.10	$87.10	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $575.44	Professional		$104.71	$125.89	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,513.56	Professional		$1,258.93	$1,258.93	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Facility		$302.00	$302.00	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
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 Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83