Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $59.44 / $139.37	Facility		$47.86	$59.44	$139.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $53.88 / $62.17	Professional		$40.28	$53.88	$62.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $236.64 / $309.58	Facility		$187.64	$236.64	$309.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $69.44 / $101.50	Professional		$48.18	$69.44	$101.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $69.68 / $139.88	Professional		$64.83	$69.68	$139.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $155.16 / $500.00	Facility		$94.68	$155.16	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $63.15 / $121.35	Professional		$45.28	$63.15	$121.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $70.83 / $86.80	Professional		$59.02	$70.83	$86.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $72.00 / $102.42	Facility		$48.82	$72.00	$102.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $45.00 / $85.00	Professional		$22.92	$45.00	$85.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $48.22 / $99.68	Facility		$21.52	$48.22	$99.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $63.35 / $120.36	Professional		$22.69	$63.35	$120.36
United Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $1,110.33 / $1,110.33	Facility		$59.55	$1,110.33	$1,110.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $62.22 / $104.25	Professional		$39.03	$62.22	$104.25