Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $108.05 / $171.32	Facility		$43.73	$108.05	$171.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $53.14	Professional		$32.50	$39.31	$53.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $252.88	Facility		$51.45	$51.45	$252.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $55.81 / $87.64	Professional		$55.81	$55.81	$87.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $110.37 / $993.08	Professional		$56.60	$110.37	$993.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $113.32 / $233.06	Facility		$33.44	$113.32	$233.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $31.31 / $91.90	Professional		$25.41	$31.31	$91.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $61.74 / $76.15	Professional		$51.45	$61.74	$76.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $68.94 / $433.67	Facility		$43.73	$68.94	$433.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $72.00 / $123.48	Professional		$51.45	$72.00	$123.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $61.84 / $9,929.00	Facility		$42.19	$61.84	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $61.84 / $9,929.00	Professional		$42.19	$61.84	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $26.75 / $66.89	Professional		$21.61	$26.75	$66.89