Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $79.65 / $79.65	Facility		$79.65	$79.65	$79.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $79.65 / $104.67	Professional		$79.65	$79.65	$104.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $148.72	Professional		$114.40	$114.40	$148.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $98.28	Facility		$88.70	$88.70	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $75.40 / $96.35	Professional		$10.41	$75.40	$96.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $80.59 / $88.66	Facility		$16.64	$80.59	$88.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $21.33 / $178.60	Facility		$9.56	$21.33	$178.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $21.49 / $179.10	Professional		$9.02	$21.49	$179.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $11.28 / $113.47	Professional		$7.17	$11.28	$113.47