Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $154.88 / $302.00	Facility		$51.29	$154.88	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $74.13	Professional		$25.70	$31.62	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $147.91	Facility		$37.15	$37.15	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $30.90	Professional		$17.38	$17.38	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $165.96 / $251.19	Professional		$31.62	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $169.82	Facility		$58.88	$89.13	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $69.18	Professional		$19.05	$27.54	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $54.95	Professional		$37.15	$44.67	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $89.13	Facility		$31.62	$56.23	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $77.62	Professional		$28.18	$28.18	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $10,000.00	Facility		$33.88	$48.98	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $10,000.00	Professional		$33.88	$48.98	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $44.67	Facility		$30.20	$37.15	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $51.29	Professional		$15.49	$21.38	$51.29