Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $122.83 / $194.77	Facility		$49.72	$122.83	$194.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $43.87 / $49.72	Professional		$29.25	$43.87	$49.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $287.48	Facility		$58.49	$58.49	$287.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $38.01	Professional		$23.40	$23.40	$38.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $125.46 / $481.71	Professional		$64.34	$125.46	$481.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $109.12 / $265.72	Facility		$38.02	$109.12	$265.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $35.59 / $96.76	Professional		$28.78	$35.59	$96.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $70.19 / $86.57	Professional		$58.49	$70.19	$86.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $78.38 / $217.51	Facility		$49.72	$78.38	$217.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $82.00 / $140.38	Professional		$58.49	$82.00	$140.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $70.30 / $9,929.00	Facility		$47.96	$70.30	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $70.30 / $9,929.00	Professional		$47.96	$70.30	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $58.49 / $87.74	Facility		$52.64	$58.49	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $30.41 / $67.26	Professional		$24.57	$30.41	$67.26