Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $206.99 / $647.26	Facility		$59.09	$206.99	$647.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $35.43 / $38.49	Professional		$30.56	$35.43	$38.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $198.45	Facility		$40.75	$40.75	$198.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $24.65	Professional		$20.12	$20.12	$24.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $184.49 / $276.16	Professional		$120.71	$184.49	$276.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $106.65 / $208.02	Facility		$28.47	$106.65	$208.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $27.42 / $46.67	Professional		$23.09	$27.42	$46.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $50.94 / $60.31	Professional		$48.90	$50.94	$60.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $35.53 / $38.49	Facility		$34.15	$35.53	$38.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $61.62 / $101.00	Professional		$36.32	$61.62	$101.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $55.97 / $4,071.00	Facility		$31.70	$55.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $55.80 / $4,071.00	Professional		$31.70	$55.80	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.91 / $36.75	Professional		$17.12	$23.91	$36.75