Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $87.44 / $173.68	Facility		$43.51	$87.44	$173.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $38.24 / $43.51	Professional		$34.54	$38.24	$43.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $224.36	Facility		$46.07	$46.07	$224.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $27.87	Professional		$22.75	$22.75	$27.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $208.59 / $312.24	Professional		$136.49	$208.59	$312.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $120.66 / $236.50	Facility		$32.19	$120.66	$236.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $30.91 / $52.86	Professional		$26.10	$30.91	$52.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $57.59 / $68.18	Professional		$55.28	$57.59	$68.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $43.51	Facility		$33.54	$33.54	$43.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $64.34 / $113.00	Professional		$63.30	$64.34	$113.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $63.28 / $4,071.00	Facility		$35.83	$63.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $62.89 / $4,071.00	Professional		$35.83	$62.89	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $46.07 / $79.20	Facility		$30.71	$46.07	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $63.69	Professional		$19.35	$27.64	$63.69