Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $550.79	Facility		$255.00	$255.00	$550.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $255.00 / $255.00	Professional		$240.00	$255.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $458.50 / $738.82	Facility		$217.30	$458.50	$738.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $235.75 / $240.00	Professional		$235.75	$235.75	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $92.54 / $270.00	Professional		$55.52	$92.54	$270.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $255.00 / $300.00	Facility		$95.64	$255.00	$300.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $217.30 / $360.00	Professional		$54.00	$217.30	$360.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.88 / $255.48 / $302.50	Facility		$237.88	$255.48	$302.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $237.88 / $255.48 / $302.50	Professional		$237.88	$255.48	$302.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $265.23	Professional		$100.00	$250.00	$265.23