Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $77.62 / $194.98	Facility		$38.02	$77.62	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $109.65	Professional		$51.29	$51.29	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $323.59	Facility		$204.17	$269.15	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $87.10	Professional		$51.29	$51.29	$87.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $169.82 / $257.04	Professional		$51.29	$169.82	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $263.03	Facility		$33.11	$85.11	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $87.10	Professional		$26.30	$42.66	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $72.44	Professional		$51.29	$56.23	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $93.33	Facility		$51.29	$57.54	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $107.15	Professional		$51.29	$51.29	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $10,000.00	Facility		$44.67	$58.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $10,000.00	Professional		$45.71	$58.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $61.66	Facility		$30.90	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $51.29	Professional		$30.90	$38.90	$51.29