Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $97.72 / $165.96	Facility		$41.69	$97.72	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $263.03	Facility		$169.82	$218.78	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $64.57	Professional		$30.90	$51.29	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $213.80	Professional		$89.13	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $234.42	Facility		$35.48	$83.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $74.13	Professional		$35.48	$41.69	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $75.86	Professional		$51.29	$61.66	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $43.65	Facility		$42.66	$42.66	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $89.13	Professional		$34.67	$34.67	$89.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $107.15	Facility		$31.62	$47.86	$107.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $107.15	Professional		$31.62	$47.86	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $61.66	Facility		$18.20	$42.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $33.11	Professional		$17.78	$19.05	$33.11