Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $95.50	Facility		$32.36	$57.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $77.62	Professional		$30.20	$48.98	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $77.62	Professional		$31.62	$45.71	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $1,047.13	Professional		$31.62	$45.71	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $100.00	Professional		$33.11	$56.23	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $81.28	Professional		$53.70	$67.61	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $125.89	Professional		$74.13	$93.33	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $104.71	Facility		$33.11	$58.88	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $1,288.25	Facility		$30.90	$44.67	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $1,288.25	Professional		$47.86	$70.79	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,148.15 / $2,398.83	Facility		$194.98	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $93.33	Professional		$28.18	$51.29	$93.33