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 $41.94 / $46.60 / $90.87	Professional		$41.94	$46.60	$90.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $115.74 / $568.99	Facility		$30.29	$115.74	$568.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $28.39 / $77.19	Professional		$23.15	$28.39	$77.19
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 $38.79 / $54.69 / $85.47	Facility		$38.79	$54.69	$85.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $74.00 / $111.84	Professional		$47.00	$74.00	$111.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $56.01 / $9,929.00	Facility		$38.79	$56.01	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $56.01 / $9,929.00	Professional		$39.00	$56.01	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.23 / $60.78	Professional		$19.57	$24.23	$60.78