Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $54.52 / $244.40	Facility		$29.17	$54.52	$244.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $30.63 / $64.27	Professional		$28.26	$30.63	$64.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $127.50 / $166.50	Facility		$100.91	$127.50	$166.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $37.40 / $53.89	Professional		$27.99	$37.40	$53.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $54.67 / $304.04	Professional		$37.85	$54.67	$304.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $48.70 / $90.41	Professional		$24.62	$48.70	$90.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $38.28 / $47.21	Professional		$31.90	$38.28	$47.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $44.24 / $133.97	Facility		$30.43	$44.24	$133.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $33.00 / $71.00	Professional		$18.00	$33.00	$71.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $30.90 / $75.78	Facility		$16.11	$30.90	$75.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $41.54 / $99.02	Professional		$17.11	$41.54	$99.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $42.63 / $91.87	Professional		$26.09	$42.63	$91.87