Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $194.98 / $457.09	Facility		$66.07	$194.98	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $128.82	Professional		$48.98	$63.10	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $281.84	Facility		$70.79	$70.79	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $61.66	Professional		$34.67	$34.67	$61.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $323.59 / $489.78	Professional		$60.26	$323.59	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $316.23	Facility		$70.79	$177.83	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $138.04	Professional		$38.02	$52.48	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $104.71	Professional		$70.79	$83.18	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $173.78	Facility		$60.26	$114.82	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $147.91	Professional		$45.71	$45.71	$147.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $10,000.00	Facility		$66.07	$95.50	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $10,000.00	Professional		$66.07	$95.50	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $85.11	Facility		$58.88	$70.79	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72