Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $169.82 / $295.12	Facility		$57.54	$169.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $77.62	Professional		$38.90	$58.88	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $309.03	Facility		$77.62	$77.62	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $52.48	Professional		$30.90	$30.90	$52.48
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 $79.43 / $128.82 / $354.81	Facility		$79.43	$128.82	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $89.13	Professional		$24.55	$35.48	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $114.82	Professional		$77.62	$93.33	$114.82
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 $38.90 / $56.23 / $66.07	Facility		$38.90	$56.23	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $162.18	Professional		$38.90	$50.12	$162.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $10,000.00	Facility		$54.95	$93.33	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $10,000.00	Professional		$54.95	$93.33	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $77.62 / $93.33	Facility		$31.62	$77.62	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $46.77	Professional		$21.88	$32.36	$46.77