Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $79.43 / $177.83	Facility		$25.70	$79.43	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $35.48	Professional		$22.91	$26.92	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $141.25	Facility		$35.48	$35.48	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $23.99	Professional		$14.45	$14.45	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $190.55	Professional		$79.43	$125.89	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $69.18 / $162.18	Facility		$36.31	$69.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $40.74	Professional		$16.22	$20.42	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $52.48	Professional		$35.48	$42.66	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $30.20	Facility		$23.99	$26.30	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $75.86	Professional		$23.99	$28.84	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $10,000.00	Facility		$26.30	$43.65	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $10,000.00	Professional		$26.30	$44.67	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $35.48 / $42.66	Facility		$15.14	$35.48	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $28.18	Professional		$15.14	$16.60	$28.18