Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $93.33 / $162.18	Facility		$33.11	$93.33	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $50.12	Professional		$19.05	$33.88	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $177.83	Facility		$43.65	$43.65	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $29.51	Professional		$17.78	$17.78	$29.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $125.89	Professional		$53.70	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $199.53	Facility		$36.31	$66.07	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $50.12	Professional		$12.02	$19.95	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $64.57	Professional		$43.65	$52.48	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $35.48	Professional		$15.14	$30.20	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $37.15	Facility		$17.38	$21.88	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $93.33	Professional		$11.22	$15.49	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $10,000.00	Facility		$27.54	$52.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $10,000.00	Professional		$28.18	$52.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $43.65 / $52.48	Facility		$15.14	$43.65	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.62 / $26.30	Professional		$10.72	$18.62	$26.30