Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $181.97 / $371.54	Facility		$70.79	$181.97	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $138.04	Professional		$63.10	$77.62	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $380.19	Facility		$95.50	$95.50	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $67.61	Professional		$38.02	$38.02	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $436.52 / $645.65	Professional		$87.10	$436.52	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $186.21 / $426.58	Facility		$61.66	$186.21	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $138.04	Professional		$46.77	$58.88	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $131.83	Professional		$95.50	$104.71	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $269.15	Facility		$75.86	$125.89	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $269.15	Professional		$60.26	$199.53	$269.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $10,000.00	Facility		$81.28	$125.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $10,000.00	Professional		$81.28	$125.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $114.82	Facility		$57.54	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $109.65	Professional		$39.81	$47.86	$109.65