Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $83.49 / $165.84	Facility		$41.55	$83.49	$165.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.19 / $41.55	Professional		$23.32	$35.19	$41.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $214.23	Facility		$43.99	$43.99	$214.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $21.72 / $26.61	Professional		$21.72	$21.72	$26.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $199.13 / $298.08	Professional		$130.30	$199.13	$298.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $115.83 / $224.77	Facility		$30.74	$115.83	$224.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $33.63 / $50.39	Professional		$24.93	$33.63	$50.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $54.99 / $65.11	Professional		$52.79	$54.99	$65.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $23.32 / $41.55	Facility		$23.32	$23.32	$41.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $60.48 / $108.00	Professional		$48.26	$60.48	$108.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $60.23 / $4,071.00	Facility		$34.22	$60.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $58.64 / $4,071.00	Professional		$34.22	$58.64	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $22.00 / $43.99	Facility		$15.40	$22.00	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.00 / $43.99	Professional		$18.48	$26.00	$43.99