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 $194.98 / $309.03 / $457.09	Professional		$194.98	$309.03	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $295.12	Facility		$66.07	$165.96	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $74.13	Professional		$36.31	$48.98	$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 $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $58.88 / $60.26	Facility		$54.95	$58.88	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $134.90	Professional		$51.29	$54.95	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $10,000.00	Facility		$57.54	$91.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $10,000.00	Professional		$53.70	$91.20	$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 / $39.81 / $70.79	Professional		$26.92	$39.81	$70.79