Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $169.82	Facility		$44.67	$85.11	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $281.84	Facility		$181.97	$234.42	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $56.23	Professional		$27.54	$45.71	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $229.09	Professional		$95.50	$151.36	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $74.13 / $204.17	Facility		$45.71	$74.13	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $52.48	Professional		$22.91	$45.71	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $67.61	Professional		$45.71	$54.95	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $95.50	Professional		$37.15	$37.15	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $10,000.00	Facility		$32.36	$52.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $10,000.00	Professional		$33.88	$54.95	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $45.71 / $54.95	Facility		$19.05	$45.71	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $45.71	Professional		$26.92	$26.92	$45.71