Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $177.83	Facility		$33.11	$85.11	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $51.29	Professional		$28.18	$34.67	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $177.83	Facility		$44.67	$44.67	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $31.62	Professional		$17.78	$17.78	$31.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $87.10 / $128.82	Professional		$36.31	$87.10	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $204.17	Facility		$45.71	$107.15	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $66.07	Professional		$20.42	$26.92	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $63.10	Professional		$44.67	$48.98	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $75.86	Facility		$35.48	$48.98	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $93.33	Professional		$29.51	$29.51	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $60.26 / $10,000.00	Facility		$38.02	$60.26	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $10,000.00	Professional		$38.02	$60.26	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $53.70	Facility		$26.92	$44.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $51.29	Professional		$19.05	$22.39	$51.29