Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $141.25 / $239.88	Facility		$47.86	$141.25	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $64.57	Professional		$28.18	$50.12	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $257.04	Facility		$64.57	$64.57	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $42.66	Professional		$25.70	$25.70	$42.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $204.17	Professional		$87.10	$147.91	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $107.15 / $288.40	Facility		$51.29	$107.15	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $95.50	Professional		$20.42	$38.90	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $95.50	Professional		$64.57	$77.62	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $54.95	Facility		$32.36	$32.36	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $134.90	Professional		$41.69	$41.69	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $10,000.00	Facility		$40.74	$74.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $10,000.00	Professional		$40.74	$74.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $64.57 / $77.62	Facility		$24.55	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $38.90	Professional		$16.98	$26.92	$38.90