Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $408.00 / $408.00	Professional		$384.00	$408.00	$408.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $515.63	Professional		$384.00	$384.00	$515.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $169.45 / $169.45	Professional		$169.45	$169.45	$169.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $421.00 / $421.00	Professional		$420.00	$421.00	$421.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $480.00 / $621.38	Facility		$408.00	$480.00	$621.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $480.00 / $480.00	Professional		$456.00	$480.00	$480.00
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 Professional Modifier Low / Median / High Price $480.00 / $480.00 / $504.00	Professional		$480.00	$480.00	$504.00