Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $93.33 / $371.54	Facility		$13.80	$93.33	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $42.66	Professional		$28.18	$33.88	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $151.36	Facility		$38.02	$38.02	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $27.54	Professional		$18.62	$18.62	$27.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $269.15	Professional		$112.20	$181.97	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $169.82	Facility		$38.02	$89.13	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $43.65	Professional		$21.38	$27.54	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $56.23	Professional		$38.02	$45.71	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.88 / $38.90	Facility		$32.36	$33.88	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $79.43	Professional		$37.15	$38.90	$79.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $10,000.00	Facility		$29.51	$52.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $10,000.00	Professional		$29.51	$52.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.02 / $45.71	Facility		$15.85	$38.02	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $39.81	Professional		$15.85	$22.39	$39.81