Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $128.82 / $346.74	Facility		$42.66	$128.82	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $66.07	Professional		$42.66	$45.71	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $234.42	Facility		$57.54	$57.54	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $44.67	Professional		$28.84	$28.84	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $407.38	Professional		$169.82	$295.12	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $85.11	Professional		$57.54	$69.18	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $112.20	Professional		$47.86	$97.72	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $63.10	Facility		$48.98	$63.10	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $123.03	Professional		$39.81	$48.98	$123.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $10,000.00	Facility		$51.29	$91.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $10,000.00	Professional		$51.29	$91.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $57.54 / $69.18	Facility		$24.55	$57.54	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $60.26	Professional		$24.55	$34.67	$60.26