Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $113.88 / $184.80	Facility		$45.00	$113.88	$184.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $49.80 / $51.00	Professional		$45.00	$49.80	$51.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $292.20	Facility		$60.00	$60.00	$292.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $75.84 / $113.54	Professional		$49.63	$75.84	$113.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $67.39 / $271.64	Facility		$39.00	$67.39	$271.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $30.60 / $68.97	Professional		$11.04	$30.60	$68.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $75.00 / $88.80	Professional		$72.00	$75.00	$88.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $43.70 / $51.00	Facility		$14.71	$43.70	$51.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $23.03 / $40.00	Professional		$16.73	$23.03	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $69.77 / $4,071.00	Facility		$25.33	$69.77	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $71.23 / $4,071.00	Professional		$25.33	$71.23	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $25.20 / $36.00	Professional		$9.83	$25.20	$36.00