Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $275.42 / $707.95	Facility		$52.48	$275.42	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $83.18	Professional		$30.20	$37.15	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $165.96	Facility		$41.69	$41.69	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $31.62	Professional		$20.42	$20.42	$31.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $288.40	Professional		$123.03	$194.98	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $186.21	Facility		$41.69	$109.65	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $47.86	Professional		$23.44	$27.54	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $61.66	Professional		$41.69	$48.98	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $81.28	Professional		$33.88	$69.18	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $36.31 / $38.90	Facility		$35.48	$36.31	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $87.10	Professional		$31.62	$35.48	$87.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $10,000.00	Facility		$36.31	$67.61	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $10,000.00	Professional		$36.31	$67.61	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $41.69 / $48.98	Facility		$17.38	$41.69	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $43.65	Professional		$17.38	$24.55	$43.65