Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $140.07 / $251.46	Facility		$63.00	$140.07	$251.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $55.36 / $72.17	Professional		$50.03	$55.36	$72.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $324.83	Facility		$66.70	$66.70	$324.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $32.94 / $40.35	Professional		$32.94	$32.94	$40.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $301.83 / $451.83	Professional		$197.50	$301.83	$451.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $175.45 / $342.20	Facility		$46.61	$175.45	$342.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $47.37 / $76.41	Professional		$37.79	$47.37	$76.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $83.38 / $98.72	Professional		$80.04	$83.38	$98.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $72.17 / $72.17	Facility		$53.36	$72.17	$72.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $91.72 / $163.00	Professional		$88.48	$91.72	$163.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $88.87 / $4,071.00	Facility		$51.88	$88.87	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $88.87 / $4,071.00	Professional		$51.88	$88.87	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $136.50	Facility		$66.70	$66.70	$136.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $40.02 / $54.73	Professional		$28.01	$40.02	$54.73