Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $58.52 / $168.70	Facility		$25.64	$58.52	$168.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $28.79 / $52.00	Professional		$24.23	$28.79	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.71 / $120.71 / $157.91	Facility		$95.71	$120.71	$157.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $35.47 / $51.85	Professional		$25.95	$35.47	$51.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $35.10 / $82.57	Professional		$30.55	$35.10	$82.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $94.08 / $500.00	Facility		$49.63	$94.08	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $36.34 / $64.95	Professional		$24.50	$36.34	$64.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.24 / $44.41	Professional		$30.20	$36.24	$44.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $40.33 / $57.73	Facility		$26.19	$40.33	$57.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $30.00 / $55.00	Professional		$10.19	$30.00	$55.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $28.04 / $52.04	Facility		$9.83	$28.04	$52.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $34.27 / $62.36	Professional		$10.77	$34.27	$62.36
United Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $250.18 / $250.18	Facility		$180.02	$250.18	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $36.33 / $57.80	Professional		$24.01	$36.33	$57.80