Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $173.78 / $331.13	Facility		$43.65	$173.78	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $56.23	Professional		$20.89	$25.70	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Facility		$29.51	$29.51	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $22.91	Professional		$16.60	$16.60	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $208.93	Professional		$87.10	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $77.62 / $134.90	Facility		$30.20	$77.62	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $43.65	Professional		$16.60	$22.91	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $43.65	Professional		$29.51	$35.48	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $57.54	Professional		$39.81	$50.12	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.70 / $28.18	Facility		$25.12	$25.70	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $61.66	Professional		$25.12	$34.67	$61.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $10,000.00	Facility		$26.30	$47.86	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.12 / $10,000.00	Professional		$26.30	$50.12	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $35.48	Facility		$12.30	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $30.90	Professional		$12.30	$17.78	$30.90