Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $92.69 / $158.40	Facility		$42.13	$92.69	$158.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.35 / $205.61 / $259.64	Facility		$160.35	$205.61	$259.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $51.43 / $51.43	Professional		$35.47	$51.43	$51.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $136.50 / $204.33	Professional		$89.32	$136.50	$204.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $80.90 / $263.38	Facility		$33.43	$80.90	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $42.13 / $73.88	Professional		$35.81	$42.13	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $64.29 / $76.12	Professional		$61.72	$64.29	$76.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.31 / $42.31	Facility		$42.13	$42.31	$42.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $39.18 / $88.47	Professional		$34.54	$39.18	$88.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $48.99 / $174.93	Facility		$33.43	$48.99	$174.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $48.99 / $174.93	Professional		$33.43	$48.99	$174.93
United Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Facility		$21.60	$21.60	$21.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.60 / $41.84	Professional		$17.69	$21.60	$41.84