Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.26 / $1,091.09 / $1,091.09	Facility		$483.26	$1,091.09	$1,091.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $1,091.09 / $1,091.09	Professional		$483.26	$1,091.09	$1,091.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,650.66	Professional		$1,250.00	$1,250.00	$1,650.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,299.59 / $1,299.59 / $1,299.59	Professional		$1,299.59	$1,299.59	$1,299.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $102.81	Professional		$84.85	$84.85	$102.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $483.26 / $1,150.08	Facility		$113.09	$483.26	$1,150.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $277.25 / $970.00	Professional		$117.44	$277.25	$970.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $259.99 / $1,724.00	Facility		$116.38	$259.99	$1,724.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $322.50 / $1,724.00	Professional		$116.38	$322.50	$1,724.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $88.07 / $732.23	Professional		$79.59	$88.07	$732.23