Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $380.19	Facility		$61.66	$138.04	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $107.15	Professional		$47.86	$61.66	$107.15
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 $32.36 / $32.36 / $57.54	Professional		$32.36	$32.36	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $218.78 / $323.59	Professional		$60.26	$218.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $338.84	Facility		$66.07	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $128.82	Professional		$33.11	$47.86	$128.82
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 $54.95 / $97.72 / $190.55	Facility		$54.95	$97.72	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $138.04 / $190.55	Professional		$52.48	$138.04	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $10,000.00	Facility		$61.66	$89.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $10,000.00	Professional		$61.66	$89.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $77.62	Facility		$53.70	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $89.13	Professional		$27.54	$38.90	$89.13