Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $199.42 / $358.97	Facility		$46.40	$199.42	$358.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.68 / $37.00	Professional		$20.72	$25.68	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $144.15	Facility		$29.60	$29.60	$144.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $17.89	Professional		$16.78	$16.78	$17.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $134.01 / $200.60	Professional		$87.68	$134.01	$200.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $77.56 / $150.97	Facility		$20.69	$77.56	$150.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $22.76 / $44.15	Professional		$16.77	$22.76	$44.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $37.00 / $43.81	Professional		$35.52	$37.00	$43.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $25.81 / $27.96	Facility		$24.82	$25.81	$27.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $44.77 / $73.00	Professional		$34.51	$44.77	$73.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $42.96 / $4,071.00	Facility		$23.02	$42.96	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $41.66 / $4,071.00	Professional		$23.02	$41.66	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $60.60	Facility		$29.60	$29.60	$60.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $29.60	Professional		$12.43	$17.76	$29.60