Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Facility		$204.17	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $14.45	Professional		$4.47	$4.47	$14.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $123.03	Professional		$51.29	$81.28	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $46.77 / $69.18	Facility		$3.89	$46.77	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $45.71	Professional		$10.96	$19.50	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $35.48	Professional		$23.44	$33.88	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $28.84	Facility		$17.38	$17.38	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $17.38	Professional		$9.55	$9.55	$17.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $28.18 / $10,000.00	Facility		$10.47	$28.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $28.18 / $10,000.00	Professional		$10.47	$28.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.02 / $15.49	Facility		$8.32	$12.02	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $15.49	Professional		$7.59	$12.02	$15.49