Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $144.54 / $281.84	Facility		$56.23	$144.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $85.11	Professional		$21.88	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $302.00	Facility		$75.86	$75.86	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $53.70	Professional		$30.20	$30.20	$53.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $134.90	Professional		$58.88	$91.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $144.54 / $346.74	Facility		$50.12	$144.54	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.90 / $109.65	Professional		$14.79	$38.90	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $104.71	Professional		$75.86	$83.18	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $104.71	Facility		$54.95	$54.95	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $158.49	Professional		$22.39	$22.39	$158.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $10,000.00	Facility		$30.20	$75.86	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $10,000.00	Professional		$30.20	$75.86	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $75.86 / $91.20	Facility		$17.78	$75.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $48.98	Professional		$12.59	$31.62	$48.98