Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $88.45 / $166.83	Facility		$34.95	$88.45	$166.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $38.21 / $40.43	Professional		$34.95	$38.21	$40.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $229.04	Facility		$46.60	$46.60	$229.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $33.78	Professional		$21.14	$21.14	$33.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $90.87 / $256.95	Professional		$46.60	$90.87	$256.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $101.93 / $238.19	Facility		$30.29	$101.93	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $28.90 / $84.83	Professional		$23.15	$28.90	$84.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $55.92 / $68.97	Professional		$46.60	$55.92	$68.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.94 / $66.67 / $98.54	Facility		$41.94	$66.67	$98.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $73.00 / $111.00	Professional		$47.00	$73.00	$111.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $56.40 / $9,929.00	Facility		$39.00	$56.40	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $56.40 / $9,929.00	Professional		$41.38	$56.40	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $26.21 / $58.40	Professional		$19.57	$26.21	$58.40