Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $94.12 / $177.53	Facility		$37.19	$94.12	$177.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $40.65 / $46.84	Professional		$37.19	$40.65	$46.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $243.73	Facility		$49.59	$49.59	$243.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $24.49 / $38.46	Professional		$24.49	$24.49	$38.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $92.71 / $192.41	Professional		$54.55	$92.71	$192.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $108.99 / $253.29	Facility		$32.22	$108.99	$253.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $33.26 / $98.33	Professional		$24.73	$33.26	$98.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $59.51 / $73.39	Professional		$49.59	$59.51	$73.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $85.72 / $223.60	Facility		$46.84	$85.72	$223.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $119.02	Professional		$50.00	$85.00	$119.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $60.06 / $9,929.00	Facility		$44.63	$60.06	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $60.06 / $9,929.00	Professional		$45.18	$60.06	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $59.51 / $59.51	Facility		$59.51	$59.51	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $67.65	Professional		$20.83	$29.75	$67.65