Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $290.26	Professional		$218.00	$218.00	$290.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $114.00	Professional		$114.00	$114.00	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.40 / $191.40 / $191.40	Facility		$191.40	$191.40	$191.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $289.00 / $319.00	Professional		$289.00	$289.00	$319.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $42.40 / $67.59	Facility		$40.00	$42.40	$67.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Facility		$100.00	$1,750.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Professional		$100.00	$1,750.00	$10,945.00