Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $66.43 / $125.30	Facility		$26.25	$66.43	$125.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $29.75 / $34.28	Professional		$26.25	$29.75	$34.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $172.03	Facility		$35.00	$35.00	$172.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $22.50	Professional		$14.00	$14.00	$22.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $54.60 / $129.76	Professional		$28.00	$54.60	$129.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $86.39 / $179.50	Facility		$22.75	$86.39	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.23 / $57.61	Professional		$17.23	$21.23	$57.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $42.00 / $51.80	Professional		$35.00	$42.00	$51.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $40.25 / $59.50	Facility		$29.14	$40.25	$59.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $49.00 / $84.00	Professional		$35.00	$49.00	$84.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $42.07 / $9,929.00	Facility		$28.70	$42.07	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $42.07 / $9,929.00	Professional		$28.70	$42.07	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.20 / $40.25	Professional		$14.70	$18.20	$40.25