Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $94.88 / $169.51	Facility		$35.45	$94.88	$169.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $35.45 / $38.76	Professional		$35.02	$35.45	$38.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.39 / $154.63 / $201.94	Facility		$122.39	$154.63	$201.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $45.74 / $64.14	Professional		$35.38	$45.74	$64.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $875.02 / $1,322.89	Professional		$44.41	$875.02	$1,322.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $938.70 / $2,058.96	Facility		$103.86	$938.70	$2,058.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $55.57 / $95.11	Professional		$34.79	$55.57	$95.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $54.56 / $56.46	Professional		$39.39	$54.56	$56.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $55.86 / $71.88	Facility		$36.64	$55.86	$71.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $65.00 / $89.00	Professional		$56.00	$65.00	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $54.69 / $190.51	Facility		$38.15	$54.69	$190.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $54.69 / $190.51	Professional		$38.15	$54.69	$190.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $54.24 / $87.06	Professional		$32.61	$54.24	$87.06