Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $102.33 / $275.42	Facility		$38.02	$102.33	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $58.88	Professional		$32.36	$38.02	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $213.80	Facility		$151.36	$177.83	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $77.62	Professional		$36.31	$51.29	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $1,380.38	Professional		$40.74	$69.18	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $954.99 / $2,238.72	Facility		$120.23	$954.99	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $95.50	Professional		$34.67	$54.95	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $58.88	Professional		$40.74	$56.23	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $81.28	Professional		$56.23	$61.66	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $87.10	Facility		$35.48	$57.54	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $54.95 / $10,000.00	Facility		$36.31	$54.95	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $10,000.00	Professional		$36.31	$54.95	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $776.25 / $1,862.09	Facility		$52.48	$776.25	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $93.33	Professional		$33.88	$60.26	$93.33