Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $89.13 / $162.18	Facility		$30.20	$89.13	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $50.12	Professional		$26.92	$32.36	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $162.18	Facility		$40.74	$40.74	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $28.84	Professional		$16.22	$16.22	$28.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $190.55	Professional		$34.67	$123.03	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $181.97	Facility		$46.77	$79.43	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $58.88	Professional		$18.20	$24.55	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $57.54	Professional		$40.74	$48.98	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $72.44	Facility		$34.67	$52.48	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $85.11	Professional		$26.30	$26.30	$85.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $10,000.00	Facility		$33.88	$46.77	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $10,000.00	Professional		$30.20	$47.86	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.74 / $48.98	Facility		$16.98	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $70.79	Professional		$22.39	$37.15	$70.79