Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $116.77 / $220.24	Facility		$46.14	$116.77	$220.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $50.45 / $52.29	Professional		$46.14	$50.45	$52.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $302.37	Facility		$61.52	$61.52	$302.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $24.61 / $39.97	Professional		$24.61	$24.61	$39.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $131.96 / $440.92	Professional		$67.67	$131.96	$440.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $114.79 / $279.08	Facility		$39.99	$114.79	$279.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $37.44 / $101.80	Professional		$30.38	$37.44	$101.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $73.81 / $91.05	Professional		$61.52	$73.81	$91.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $82.44 / $175.88	Facility		$52.29	$82.44	$175.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $86.00 / $147.65	Professional		$61.52	$86.00	$147.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $73.95 / $9,929.00	Facility		$50.45	$73.95	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $73.95 / $9,929.00	Professional		$50.45	$73.95	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $30.76 / $70.75	Professional		$25.84	$30.76	$70.75