Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $66.08 / $222.23	Facility		$52.22	$66.08	$222.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $52.22 / $69.50	Professional		$46.94	$52.22	$69.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $217.46 / $284.49	Facility		$172.43	$217.46	$284.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $69.65 / $158.90	Professional		$52.86	$69.65	$158.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $702.18	Professional		$66.81	$66.81	$702.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $186.82 / $825.00	Facility		$106.70	$186.82	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $93.57 / $273.45	Professional		$47.11	$93.57	$273.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $65.30 / $78.31	Professional		$52.86	$65.30	$78.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $90.75 / $323.89	Facility		$55.00	$90.75	$323.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $99.65 / $258.00	Professional		$73.00	$99.65	$258.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $73.80 / $210.35	Facility		$19.80	$73.80	$210.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $87.80 / $272.31	Professional		$36.08	$87.80	$272.31
United Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $92.69 / $265.77	Professional		$49.30	$92.69	$265.77