Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $117.49	Facility		$34.67	$89.13	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $53.70	Professional		$30.90	$36.31	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $295.12	Facility		$186.21	$245.47	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $42.66	Professional		$36.31	$38.02	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $239.88	Facility		$47.86	$91.20	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $66.07	Professional		$46.77	$51.29	$66.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $72.44	Facility		$35.48	$45.71	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $97.72	Professional		$30.90	$30.90	$97.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $95.50	Facility		$33.11	$53.70	$95.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $95.50	Professional		$33.11	$53.70	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $56.23	Facility		$28.18	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $53.70	Professional		$19.95	$23.44	$53.70