Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $127.50 / $127.50	Professional		$120.00	$127.50	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $171.20	Professional		$127.50	$127.50	$171.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $150.00 / $194.18	Facility		$127.50	$150.00	$194.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $150.00	Professional		$142.50	$150.00	$150.00
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 $150.00 / $150.00 / $157.50	Professional		$150.00	$150.00	$157.50