Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $190.55 / $363.08	Facility		$67.61	$190.55	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $104.71	Professional		$61.66	$74.13	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $363.08	Facility		$91.20	$91.20	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $77.62	Professional		$45.71	$45.71	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $93.33	Professional		$79.43	$83.18	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $467.74	Facility		$93.33	$223.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $134.90	Professional		$60.26	$112.20	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $128.82	Professional		$91.20	$100.00	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $162.18	Facility		$72.44	$112.20	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $190.55	Professional		$74.13	$74.13	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $177.83	Facility		$64.57	$91.20	$177.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $177.83	Professional		$64.57	$91.20	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $109.65	Facility		$67.61	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $125.89	Professional		$38.90	$51.29	$125.89