Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $119.78 / $832.35	Facility		$48.48	$119.78	$832.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $50.77 / $98.89	Professional		$28.52	$50.77	$98.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $280.35	Facility		$57.04	$57.04	$280.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $37.07	Professional		$22.82	$22.82	$37.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $122.34 / $962.02	Professional		$62.74	$122.34	$962.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $130.11 / $258.29	Facility		$37.08	$130.11	$258.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $34.59 / $93.97	Professional		$28.07	$34.59	$93.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $68.45 / $84.42	Professional		$57.04	$68.45	$84.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $76.43 / $122.00	Facility		$48.48	$76.43	$122.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $80.00 / $136.90	Professional		$57.00	$80.00	$136.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $67.72 / $7,420.00	Facility		$42.78	$67.72	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $67.72 / $7,420.00	Professional		$42.78	$67.72	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $28.52 / $65.59	Professional		$23.96	$28.52	$65.59