Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $177.83 / $616.60	Facility		$75.86	$177.83	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $117.49	Professional		$45.71	$52.48	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $257.04	Facility		$64.57	$64.57	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $46.77	Professional		$31.62	$31.62	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $457.09	Professional		$194.98	$309.03	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $295.12	Facility		$66.07	$165.96	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $74.13	Professional		$36.31	$43.65	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $95.50	Professional		$64.57	$77.62	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $125.89	Professional		$107.15	$107.15	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Facility		$53.70	$53.70	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $134.90	Professional		$54.95	$72.44	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $10,000.00	Facility		$50.12	$89.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $10,000.00	Professional		$50.12	$89.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $64.57 / $77.62	Facility		$26.92	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61