Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $69.18	Professional		$54.95	$57.54	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $104.71	Professional		$54.95	$54.95	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $69.18	Professional		$54.95	$61.66	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $93.33	Facility		$57.54	$69.18	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $7,413.10 / $10,964.78	Facility		$512.86	$7,413.10	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $7,413.10 / $10,964.78	Professional		$512.86	$7,413.10	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18