Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $199.72	Professional		$150.00	$150.00	$199.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.38 / $124.38 / $151.56	Facility		$124.38	$124.38	$151.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $335.00 / $370.00	Professional		$335.00	$335.00	$370.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $95.40 / $152.10	Facility		$90.00	$95.40	$152.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $146.74 / $9,929.00	Facility		$107.50	$146.74	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $146.74 / $9,929.00	Professional		$107.50	$146.74	$9,929.00