Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $204.17	Facility		$25.12	$74.13	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $38.90	Professional		$25.12	$26.92	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $134.90	Facility		$33.88	$33.88	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $26.30	Professional		$16.60	$16.60	$26.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $239.88	Professional		$100.00	$158.49	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $154.88	Facility		$34.67	$89.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $38.90	Professional		$19.05	$22.91	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $50.12	Professional		$33.88	$40.74	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Professional		$57.54	$57.54	$66.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $32.36	Facility		$17.78	$17.78	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $70.79	Professional		$27.54	$28.84	$70.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $10,000.00	Facility		$28.18	$46.77	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $10,000.00	Professional		$26.30	$47.86	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.88 / $40.74	Facility		$14.13	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $35.48	Professional		$14.13	$20.42	$35.48