Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,096.48	Facility		$478.63	$478.63	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $1,348.96	Professional		$524.81	$954.99	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,691.53	Professional		$1,288.25	$1,288.25	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,288.25 / $1,288.25	Professional		$128.82	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $660.69 / $1,412.54	Facility		$117.49	$660.69	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $117.49	Professional		$97.72	$100.00	$117.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $691.83 / $2,238.72	Facility		$120.23	$691.83	$2,238.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $741.31 / $2,238.72	Professional		$120.23	$741.31	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $117.49 / $1,122.02	Facility		$57.54	$117.49	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $707.95	Professional		$79.43	$100.00	$707.95