Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $302.00	Facility		$34.67	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $61.66 / $91.20	Professional		$8.91	$61.66	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $338.84	Facility		$81.28	$81.28	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $53.70	Professional		$32.36	$32.36	$53.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $60.26	Professional		$25.70	$40.74	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $52.48 / $363.08	Facility		$21.88	$52.48	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $36.31 / $93.33	Professional		$5.62	$36.31	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $120.23	Professional		$81.28	$95.50	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.45 / $16.98	Professional		$7.08	$14.45	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $58.88 / $67.61	Facility		$7.59	$58.88	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.22 / $169.82	Professional		$7.59	$16.22	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $95.50 / $10,000.00	Facility		$13.49	$95.50	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $95.50 / $10,000.00	Professional		$13.49	$95.50	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $81.28 / $95.50	Facility		$7.24	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $28.18 / $47.86	Professional		$5.01	$28.18	$47.86