Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $124.02 / $201.25	Facility		$55.53	$124.02	$201.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $55.54 / $67.47	Professional		$49.01	$55.54	$67.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $321.14	Facility		$65.34	$65.34	$321.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $42.47	Professional		$26.14	$26.14	$42.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $127.41 / $322.26	Professional		$65.34	$127.41	$322.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $122.09 / $296.89	Facility		$42.47	$122.09	$296.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $39.70 / $107.95	Professional		$29.88	$39.70	$107.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $78.41 / $96.70	Professional		$65.34	$78.41	$96.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $88.86 / $142.85	Facility		$58.87	$88.86	$142.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $75.00 / $154.08	Professional		$65.00	$75.00	$154.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $73.18 / $9,929.00	Facility		$51.99	$73.18	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $73.18 / $9,929.00	Professional		$51.99	$73.18	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $32.67 / $68.48	Professional		$25.01	$32.67	$68.48