Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $93.33 / $194.98	Facility		$32.36	$93.33	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $56.23	Professional		$30.90	$36.31	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $169.82	Facility		$42.66	$42.66	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $37.15	Professional		$21.38	$21.38	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $131.83 / $199.53	Professional		$37.15	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $194.98	Facility		$67.61	$102.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $85.11	Professional		$21.88	$31.62	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $60.26	Professional		$42.66	$51.29	$60.26
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 $36.31 / $69.18 / $112.20	Facility		$36.31	$69.18	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $89.13	Professional		$34.67	$34.67	$89.13
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 $36.31 / $42.66 / $51.29	Facility		$36.31	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $56.23	Professional		$16.60	$23.44	$56.23