Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $70.08 / $116.34	Facility		$35.25	$70.08	$116.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $38.54 / $39.95	Professional		$35.25	$38.54	$39.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $228.89 / $289.05	Facility		$178.51	$228.89	$289.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $54.80 / $78.78	Professional		$54.80	$54.80	$78.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $42.30 / $82.48	Professional		$37.60	$42.30	$82.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $87.66 / $241.57	Facility		$30.55	$87.66	$241.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $68.70	Professional		$57.35	$57.35	$68.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.40 / $69.56	Professional		$47.00	$56.40	$69.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $47.00 / $79.90	Facility		$37.36	$47.00	$79.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $82.00 / $112.80	Professional		$69.95	$82.00	$112.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $52.16 / $87.26	Facility		$32.90	$52.16	$87.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $53.44 / $87.26	Professional		$32.90	$53.44	$87.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $24.44 / $54.05	Professional		$19.73	$24.44	$54.05