Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $281.84 / $977.24	Facility		$81.28	$281.84	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $95.50	Professional		$66.07	$74.13	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $380.19	Facility		$95.50	$95.50	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $67.61	Professional		$39.81	$39.81	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $537.03	Professional		$223.87	$389.05	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $208.93 / $436.52	Facility		$97.72	$208.93	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $141.25	Professional		$45.71	$61.66	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $141.25	Professional		$95.50	$114.82	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $95.50	Facility		$69.18	$69.18	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $199.53	Professional		$64.57	$64.57	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $10,000.00	Facility		$75.86	$125.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $10,000.00	Professional		$75.86	$125.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $114.82	Facility		$39.81	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $79.43	Professional		$39.81	$47.86	$79.43