Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $68.39 / $148.69	Facility		$29.27	$68.39	$148.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $27.87 / $29.27	Professional		$23.24	$27.87	$29.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $150.87	Facility		$30.98	$30.98	$150.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $18.73	Professional		$15.30	$15.30	$18.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $140.22 / $209.91	Professional		$91.75	$140.22	$209.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $79.40 / $159.37	Facility		$21.65	$79.40	$159.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.78 / $35.52	Professional		$17.55	$20.78	$35.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $38.72 / $45.85	Professional		$37.18	$38.72	$45.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $28.08 / $29.27	Facility		$25.97	$28.08	$29.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $46.84 / $76.00	Professional		$4.01	$46.84	$76.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $42.41 / $4,071.00	Facility		$24.10	$42.41	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $41.30 / $4,071.00	Professional		$24.10	$41.30	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.28 / $25.55	Professional		$13.01	$18.28	$25.55