Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $97.14 / $170.07	Facility		$45.23	$97.14	$170.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $48.65 / $88.39	Professional		$39.88	$48.65	$88.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $207.84 / $271.91	Facility		$164.80	$207.84	$271.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $61.73 / $89.03	Professional		$44.31	$61.73	$89.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $56.46 / $110.10	Professional		$56.46	$56.46	$110.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.66 / $242.28 / $588.34	Facility		$122.66	$242.28	$588.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $56.35 / $113.53	Professional		$34.56	$56.35	$113.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $62.23 / $76.48	Professional		$51.86	$62.23	$76.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $60.98 / $91.32	Facility		$45.23	$60.98	$91.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $67.00 / $116.00	Professional		$59.00	$67.00	$116.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $76.12 / $130.19	Facility		$35.22	$76.12	$130.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $76.12 / $130.19	Professional		$35.22	$76.12	$130.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $53.08 / $96.94	Professional		$29.36	$53.08	$96.94