Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $96.37 / $293.70	Facility		$41.22	$96.37	$293.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $41.23 / $46.68	Professional		$32.74	$41.23	$46.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $214.54	Facility		$43.65	$43.65	$214.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $34.45	Professional		$21.56	$21.56	$34.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $93.64 / $312.39	Professional		$48.02	$93.64	$312.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $96.00 / $223.08	Facility		$28.37	$96.00	$223.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $29.21 / $86.12	Professional		$21.78	$29.21	$86.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.38 / $64.59	Professional		$43.65	$52.38	$64.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $75.45 / $165.81	Facility		$41.23	$75.45	$165.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $75.00 / $104.76	Professional		$44.00	$75.00	$104.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $52.87 / $9,929.00	Facility		$39.29	$52.87	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $52.87 / $9,929.00	Professional		$39.77	$52.87	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $26.19 / $59.55	Professional		$18.32	$26.19	$59.55