Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $165.96 / $562.34	Facility		$41.69	$165.96	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $123.03	Professional		$54.95	$74.13	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $295.12	Facility		$74.13	$74.13	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $63.10	Professional		$36.31	$36.31	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $501.19 / $758.58	Professional		$67.61	$501.19	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $380.19	Facility		$75.86	$181.97	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $144.54	Professional		$37.15	$54.95	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $104.71	Professional		$74.13	$81.28	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $302.00	Facility		$61.66	$109.65	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $154.88 / $302.00	Professional		$58.88	$154.88	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $10,000.00	Facility		$69.18	$100.00	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $10,000.00	Professional		$69.18	$100.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $89.13	Facility		$58.88	$74.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $102.33	Professional		$30.90	$44.67	$102.33