Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.73 / $262.73 / $262.73	Facility		$262.73	$262.73	$262.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.95 / $262.73 / $358.08	Professional		$238.95	$262.73	$358.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $373.79	Professional		$304.00	$304.00	$373.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,590.84 / $1,590.84 / $1,590.84	Professional		$1,590.84	$1,590.84	$1,590.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $64.00	Facility		$43.07	$43.07	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $39.33 / $709.61	Professional		$34.33	$39.33	$709.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $209.56 / $349.07	Facility		$50.79	$209.56	$349.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $68.87 / $108.77	Professional		$48.11	$68.87	$108.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $51.63 / $573.09	Facility		$32.22	$51.63	$573.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $51.63 / $573.09	Professional		$32.22	$51.63	$573.09
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.98 / $51.63	Professional		$23.17	$26.98	$51.63