Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $117.49 / $309.03	Facility		$45.71	$117.49	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $70.79	Professional		$43.65	$47.86	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $251.19	Facility		$61.66	$61.66	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $46.77	Professional		$28.84	$28.84	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $363.08	Professional		$151.36	$263.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $281.84	Facility		$43.65	$120.23	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Professional		$32.36	$32.36	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $91.20	Professional		$61.66	$74.13	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $74.13	Facility		$32.36	$51.29	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $131.83	Professional		$40.74	$40.74	$131.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $10,000.00	Facility		$45.71	$89.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $10,000.00	Professional		$45.71	$89.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $74.13	Facility		$26.30	$47.86	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $60.26	Professional		$26.30	$33.88	$60.26