Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $218.78 / $588.84	Facility		$48.98	$218.78	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $100.00	Professional		$43.65	$52.48	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $263.03	Facility		$66.07	$66.07	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $46.77	Professional		$26.30	$26.30	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $177.83 / $263.03	Professional		$53.70	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $295.12	Facility		$67.61	$162.18	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $104.71	Professional		$32.36	$40.74	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $91.20	Professional		$66.07	$72.44	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $112.20	Facility		$52.48	$89.13	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $138.04	Professional		$39.81	$100.00	$138.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $77.62 / $10,000.00	Facility		$50.12	$77.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $10,000.00	Professional		$50.12	$77.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $79.43	Facility		$40.74	$66.07	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $77.62	Professional		$27.54	$33.88	$77.62