Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $81.28	Facility		$46.77	$56.23	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $72.44	Professional		$41.69	$47.86	$72.44
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 $44.67 / $58.88 / $85.11	Professional		$44.67	$58.88	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $2,511.89	Professional		$54.95	$85.11	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $109.65	Professional		$45.71	$67.61	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $120.23	Professional		$39.81	$47.86	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $107.15	Professional		$72.44	$91.20	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $67.61 / $104.71	Facility		$46.77	$67.61	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $1,659.59	Facility		$45.71	$67.61	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $1,659.59	Professional		$45.71	$67.61	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $102.33	Professional		$39.81	$63.10	$102.33