Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $148.54 / $295.04	Facility		$73.91	$148.54	$295.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $64.17 / $73.91	Professional		$58.70	$64.17	$73.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $78.26 / $381.13	Facility		$78.26	$78.26	$381.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $47.34	Professional		$38.65	$38.65	$47.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.80 / $354.26 / $530.29	Professional		$231.80	$354.26	$530.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $196.96 / $400.89	Facility		$54.69	$196.96	$400.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $57.21 / $90.03	Professional		$44.34	$57.21	$90.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $97.83 / $115.82	Professional		$93.91	$97.83	$115.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $73.91	Facility		$41.48	$41.48	$73.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $107.56 / $192.00	Professional		$89.33	$107.56	$192.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $104.27 / $4,071.00	Facility		$60.87	$104.27	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $104.27 / $4,071.00	Professional		$60.87	$104.27	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $39.13 / $50.87	Facility		$27.39	$39.13	$50.87
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $45.92 / $65.59	Professional		$32.86	$45.92	$65.59