Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $338.84	Facility		$26.92	$89.13	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $52.48	Professional		$26.92	$28.84	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $144.54	Facility		$36.31	$36.31	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $398.11	Professional		$165.96	$288.40	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $144.54 / $204.17	Facility		$37.15	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $46.77	Professional		$20.42	$36.31	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $53.70	Professional		$36.31	$43.65	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $109.65	Professional		$46.77	$95.50	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $47.86	Facility		$30.90	$38.02	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $112.20	Professional		$47.86	$77.62	$112.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $10,000.00	Facility		$28.18	$75.86	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $74.13 / $10,000.00	Professional		$28.18	$74.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $36.31 / $47.86	Facility		$15.49	$36.31	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $58.88	Professional		$15.49	$33.11	$58.88