Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $165.96 / $478.63	Facility		$63.10	$165.96	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $77.62	Professional		$52.48	$61.66	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $269.15	Facility		$67.61	$67.61	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Professional		$33.11	$33.11	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $478.63	Professional		$199.53	$316.23	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $169.82 / $309.03	Facility		$69.18	$169.82	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $77.62	Professional		$38.02	$45.71	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $100.00	Professional		$67.61	$81.28	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $131.83	Professional		$83.18	$112.20	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $63.10	Facility		$57.54	$61.66	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $141.25	Professional		$57.54	$97.72	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $10,000.00	Facility		$56.23	$95.50	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $10,000.00	Professional		$52.48	$95.50	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $81.28	Facility		$28.18	$67.61	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $70.79	Professional		$28.18	$40.74	$70.79