Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $130.11 / $245.41	Facility		$51.41	$130.11	$245.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $56.21 / $58.27	Professional		$51.41	$56.21	$58.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $336.92	Facility		$68.55	$68.55	$336.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $27.42 / $44.55	Professional		$27.42	$27.42	$44.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $120.31 / $315.70	Professional		$61.70	$120.31	$315.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $128.10 / $310.25	Facility		$44.56	$128.10	$310.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $41.55 / $112.98	Professional		$31.37	$41.55	$112.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $82.26 / $101.45	Professional		$68.55	$82.26	$101.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $93.23 / $379.39	Facility		$59.55	$93.23	$379.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $75.00 / $161.94	Professional		$69.00	$75.00	$161.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $76.78 / $9,929.00	Facility		$51.99	$76.78	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $76.78 / $9,929.00	Professional		$51.99	$76.78	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $35.65 / $85.16	Professional		$25.01	$35.65	$85.16