Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $115.40 / $187.26	Facility		$45.60	$115.40	$187.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $50.46 / $51.68	Professional		$45.60	$50.46	$51.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $296.10	Facility		$60.80	$60.80	$296.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $31.49	Professional		$24.32	$24.32	$31.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.86 / $74.64	Professional		$32.63	$49.86	$74.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $48.24 / $276.11	Facility		$28.77	$48.24	$276.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $31.01 / $69.80	Professional		$7.81	$31.01	$69.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $76.00 / $89.98	Professional		$72.95	$76.00	$89.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.40 / $51.68	Facility		$28.84	$30.40	$51.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $19.00 / $30.00	Professional		$9.19	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $70.70 / $4,071.00	Facility		$18.14	$70.70	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $72.19 / $4,071.00	Professional		$18.14	$72.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $25.54 / $36.47	Professional		$6.46	$25.54	$36.47