Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $153.00 / $153.00	Professional		$144.00	$153.00	$153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $193.01	Professional		$144.00	$144.00	$193.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $162.00 / $162.00	Professional		$144.00	$162.00	$162.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $180.00 / $233.02	Facility		$153.00	$180.00	$233.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $180.00 / $180.00	Professional		$171.00	$180.00	$180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Facility		$100.00	$1,750.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,750.00 / $10,945.00	Professional		$100.00	$1,750.00	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $297.00 / $297.00	Facility		$162.00	$297.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $194.22	Professional		$180.00	$180.00	$194.22