Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $166.85 / $389.69	Facility		$56.15	$166.85	$389.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.11 / $70.70	Professional		$52.40	$54.11	$70.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $74.86 / $364.57	Facility		$74.86	$74.86	$364.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $45.29	Professional		$36.97	$36.97	$45.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $446.47 / $668.33	Professional		$292.14	$446.47	$668.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $178.23 / $384.14	Facility		$49.20	$178.23	$384.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $48.95 / $85.90	Professional		$42.42	$48.95	$85.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $93.58 / $110.79	Professional		$89.83	$93.58	$110.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $101.97	Facility		$54.52	$54.52	$101.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $101.97 / $157.21	Professional		$56.93	$101.97	$157.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $101.97 / $4,071.00	Facility		$58.23	$101.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $101.97 / $4,071.00	Professional		$58.23	$101.97	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $61.42	Professional		$31.44	$42.83	$61.42