Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $181.60 / $352.18	Facility		$62.35	$181.60	$352.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $62.36 / $65.34	Professional		$52.64	$62.36	$65.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $360.61	Facility		$73.37	$73.37	$360.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $48.23	Professional		$30.18	$30.18	$48.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $88.77 / $179.17	Professional		$66.03	$88.77	$179.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $145.07 / $350.28	Facility		$47.69	$145.07	$350.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $45.28 / $130.12	Professional		$36.29	$45.28	$130.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $88.04 / $108.59	Professional		$73.37	$88.04	$108.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $111.25 / $126.20	Facility		$66.09	$111.25	$126.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $105.00 / $172.94	Professional		$73.00	$105.00	$172.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $84.38 / $7,420.00	Facility		$60.16	$84.38	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $87.11 / $7,420.00	Professional		$60.16	$87.11	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $38.15 / $95.88	Professional		$30.82	$38.15	$95.88