Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $135.00	Professional		$110.00	$110.00	$135.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $120.00 / $122.00	Professional		$96.00	$120.00	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $120.00 / $125.00	Facility		$90.00	$120.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $125.00	Professional		$90.00	$120.00	$125.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $125.00 / $142.00	Professional		$90.00	$125.00	$142.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $67.80	Facility		$60.00	$60.00	$67.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $76.00 / $203.41	Facility		$46.82	$76.00	$203.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $76.00 / $203.41	Professional		$46.82	$76.00	$203.41
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00