Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $164.10 / $568.23	Facility		$36.00	$164.10	$568.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $76.19 / $77.80	Professional		$55.75	$76.19	$77.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $365.33	Facility		$74.33	$74.33	$365.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $54.75	Professional		$35.92	$35.92	$54.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $159.43 / $728.55	Professional		$81.76	$159.43	$728.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $163.84 / $380.76	Facility		$48.31	$163.84	$380.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $48.75 / $143.96	Professional		$37.18	$48.75	$143.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $89.20 / $110.01	Professional		$74.33	$89.20	$110.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $125.74 / $300.00	Facility		$68.70	$125.74	$300.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $125.00 / $178.39	Professional		$74.00	$125.00	$178.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $89.97 / $9,929.00	Facility		$66.90	$89.97	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $90.31 / $9,929.00	Professional		$69.38	$90.31	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.37 / $99.25	Professional		$31.22	$42.37	$99.25