Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.18 / $28.18	Facility		$26.92	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.84	Professional		$16.98	$23.99	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $51.29	Professional		$24.55	$33.11	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $31.62	Professional		$20.89	$23.99	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $93.33	Facility		$43.65	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $46.77	Professional		$18.62	$26.92	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $45.71	Facility		$20.42	$28.84	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $10,000.00	Facility		$25.12	$41.69	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $10,000.00	Professional		$25.12	$41.69	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $6,606.93	Facility		$1,148.15	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $48.98	Professional		$19.95	$29.51	$48.98