Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $286.68 / $449.35	Facility		$80.48	$286.68	$449.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $38.10 / $47.63	Professional		$35.72	$38.10	$47.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $47.63 / $231.96	Facility		$47.63	$47.63	$231.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $28.81	Professional		$23.52	$23.52	$28.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $215.59 / $322.72	Professional		$141.06	$215.59	$322.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $129.44 / $243.21	Facility		$33.29	$129.44	$243.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.74 / $54.52	Professional		$27.00	$32.74	$54.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $59.54 / $70.48	Professional		$57.16	$59.54	$70.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $44.99	Facility		$37.97	$37.97	$44.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $70.48 / $116.00	Professional		$47.94	$70.48	$116.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $67.01 / $4,071.00	Facility		$37.04	$67.01	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $66.54 / $4,071.00	Professional		$37.04	$66.54	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.58 / $47.63	Professional		$20.00	$28.58	$47.63