Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $98.70 / $156.50	Facility		$39.95	$98.70	$156.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.54 / $41.83	Professional		$32.50	$38.54	$41.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $231.01	Facility		$47.00	$47.00	$231.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $30.55	Professional		$18.80	$18.80	$30.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $100.81 / $614.94	Professional		$51.70	$100.81	$614.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $87.66 / $213.76	Facility		$30.55	$87.66	$213.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $28.59 / $83.55	Professional		$23.10	$28.59	$83.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.40 / $69.56	Professional		$47.00	$56.40	$69.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $61.10 / $272.08	Facility		$39.95	$61.10	$272.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $66.00 / $112.80	Professional		$47.00	$66.00	$112.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $56.49 / $9,929.00	Facility		$38.54	$56.49	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $56.49 / $9,929.00	Professional		$38.54	$56.49	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.50 / $54.05	Professional		$19.73	$23.50	$54.05