Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $141.25 / $389.05	Facility		$47.86	$141.25	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $74.13	Professional		$46.77	$51.29	$74.13
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 / $48.98	Professional		$31.62	$31.62	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $457.09	Professional		$190.55	$302.00	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $165.96 / $295.12	Facility		$42.66	$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 $54.95 / $69.18 / $69.18	Facility		$54.95	$69.18	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $54.95 / $134.90	Professional		$11.75	$54.95	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $10,000.00	Facility		$50.12	$91.20	$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