Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $84.04 / $84.04	Facility		$80.04	$84.04	$84.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $84.04	Professional		$80.04	$80.04	$84.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $111.14	Professional		$80.04	$80.04	$111.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $854.05	Professional		$88.23	$88.23	$854.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $75.51 / $80.04	Facility		$75.51	$75.51	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $80.04 / $530.28	Professional		$68.03	$80.04	$530.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $84.04 / $146.47	Facility		$80.04	$84.04	$146.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $1,081.00 / $1,474.75	Professional		$559.54	$1,081.00	$1,474.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $614.49 / $712.81 / $1,291.00	Facility		$614.49	$712.81	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $614.49 / $712.81 / $1,291.00	Professional		$614.49	$712.81	$1,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $89.64	Professional		$80.04	$80.04	$89.64