Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $213.86 / $439.25	Facility		$38.61	$213.86	$439.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $33.58 / $36.47	Professional		$28.97	$33.58	$36.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $188.08	Facility		$38.61	$38.61	$188.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $23.36	Professional		$19.07	$19.07	$23.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $174.86 / $261.75	Professional		$114.42	$174.86	$261.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $100.72 / $197.93	Facility		$26.98	$100.72	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $25.93 / $44.19	Professional		$21.89	$25.93	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $48.28 / $57.16	Professional		$46.34	$48.28	$57.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $33.67 / $36.47	Facility		$32.38	$33.67	$36.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $58.41 / $96.00	Professional		$30.53	$58.41	$96.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $53.97 / $4,071.00	Facility		$28.19	$53.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $53.04 / $4,071.00	Professional		$28.19	$53.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.83 / $32.38	Professional		$16.22	$22.83	$32.38