Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $96.93 / $960.37	Facility		$43.41	$96.93	$960.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $43.41 / $65.63	Professional		$38.29	$43.41	$65.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $251.01	Facility		$51.07	$51.07	$251.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $33.19	Professional		$20.43	$20.43	$33.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $79.68 / $205.39	Professional		$40.86	$79.68	$205.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $112.60 / $231.57	Facility		$33.20	$112.60	$231.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $31.09 / $84.46	Professional		$25.23	$31.09	$84.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $61.28 / $75.58	Professional		$51.07	$61.28	$75.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $66.39 / $111.23	Facility		$43.41	$66.39	$111.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $72.00 / $122.57	Professional		$51.00	$72.00	$122.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $61.39 / $9,929.00	Facility		$41.88	$61.39	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $61.39 / $9,929.00	Professional		$41.88	$61.39	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $51.07 / $76.61	Facility		$45.96	$51.07	$76.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $26.56 / $58.73	Professional		$21.45	$26.56	$58.73