Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $21.27 / $21.27	Professional		$20.02	$21.27	$21.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $28.51	Professional		$21.27	$21.27	$28.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $25.02 / $32.39	Facility		$21.27	$25.02	$32.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $25.02 / $25.02	Professional		$23.77	$25.02	$25.02
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 Professional Modifier Low / Median / High Price $21.48 / $21.48 / $25.02	Professional		$21.48	$21.48	$25.02