Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $107.15 / $194.98	Facility		$36.31	$107.15	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $57.54	Professional		$30.90	$38.90	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $194.98	Facility		$47.86	$47.86	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $33.88	Professional		$19.50	$19.50	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $162.18 / $245.47	Professional		$41.69	$162.18	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $218.78	Facility		$61.66	$93.33	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $75.86	Professional		$23.44	$29.51	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $70.79	Professional		$47.86	$57.54	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $102.33	Facility		$40.74	$64.57	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $102.33	Professional		$31.62	$31.62	$102.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $57.54 / $10,000.00	Facility		$37.15	$57.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $10,000.00	Professional		$37.15	$57.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $57.54	Facility		$29.51	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $56.23	Professional		$20.42	$24.55	$56.23