Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $147.91 / $407.38	Facility		$50.12	$147.91	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $77.62	Professional		$48.98	$52.48	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $269.15	Facility		$67.61	$67.61	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Professional		$33.11	$33.11	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $478.63	Professional		$199.53	$316.23	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $177.83 / $302.00	Facility		$69.18	$177.83	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $77.62	Professional		$34.67	$40.74	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $100.00	Professional		$67.61	$81.28	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $131.83	Professional		$56.23	$112.20	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $72.44	Facility		$56.23	$72.44	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $141.25	Professional		$56.23	$58.88	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $10,000.00	Facility		$52.48	$95.50	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $10,000.00	Professional		$52.48	$95.50	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $81.28	Facility		$28.18	$67.61	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $70.79	Professional		$28.18	$40.74	$70.79