Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $127.57 / $253.38	Facility		$63.48	$127.57	$253.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $55.78 / $63.48	Professional		$50.41	$55.78	$63.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $327.31	Facility		$67.20	$67.20	$327.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $33.19 / $40.65	Professional		$33.19	$33.19	$40.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $304.17 / $455.32	Professional		$199.03	$304.17	$455.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $172.84 / $319.49	Facility		$46.97	$172.84	$319.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $44.81 / $77.23	Professional		$36.40	$44.81	$77.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $84.01 / $99.47	Professional		$80.65	$84.01	$99.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.77 / $72.73 / $72.73	Facility		$53.77	$72.73	$72.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $89.60 / $165.00	Professional		$58.39	$89.60	$165.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $91.74 / $4,071.00	Facility		$52.28	$91.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $89.59 / $4,071.00	Professional		$52.28	$89.59	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $55.44	Professional		$28.23	$40.33	$55.44