Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $128.82 / $218.78	Facility		$42.66	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $67.61	Professional		$38.02	$46.77	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $234.42	Facility		$58.88	$58.88	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $41.69	Professional		$23.44	$23.44	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $131.83 / $199.53	Professional		$50.12	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $263.03	Facility		$74.13	$114.82	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $91.20	Professional		$28.84	$36.31	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $81.28	Professional		$58.88	$64.57	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $112.20	Facility		$48.98	$75.86	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $123.03	Professional		$38.02	$38.02	$123.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $10,000.00	Facility		$40.74	$67.61	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $10,000.00	Professional		$40.74	$69.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $70.79	Facility		$36.31	$58.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $63.10	Professional		$16.60	$26.30	$63.10