Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $194.98	Facility		$30.90	$102.33	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $51.29	Professional		$21.88	$33.11	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $165.96	Facility		$41.69	$41.69	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $36.31	Professional		$20.42	$20.42	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $131.83 / $199.53	Professional		$35.48	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $190.55	Facility		$66.07	$102.33	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $83.18	Professional		$21.38	$30.90	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $60.26	Professional		$41.69	$50.12	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $109.65	Facility		$35.48	$67.61	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $87.10	Professional		$33.88	$33.88	$87.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $51.29 / $10,000.00	Facility		$37.15	$51.29	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $10,000.00	Professional		$37.15	$51.29	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $50.12	Facility		$34.67	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $53.70	Professional		$16.60	$23.44	$53.70