Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $106.08 / $210.71	Facility		$52.78	$106.08	$210.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $46.39 / $52.78	Professional		$41.92	$46.39	$52.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $272.18	Facility		$55.89	$55.89	$272.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.60 / $33.81	Professional		$27.60	$27.60	$33.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $252.98 / $378.69	Professional		$165.53	$252.98	$378.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $129.43 / $253.84	Facility		$39.04	$129.43	$253.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $37.25 / $64.43	Professional		$27.26	$37.25	$64.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $69.86 / $82.72	Professional		$67.06	$69.86	$82.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $52.78	Facility		$40.70	$40.70	$52.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $65.48 / $138.00	Professional		$32.17	$65.48	$138.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $74.47 / $4,071.00	Facility		$43.46	$74.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $74.47 / $4,071.00	Professional		$43.46	$74.47	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $32.97 / $58.56	Professional		$23.47	$32.97	$58.56