Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $116.73 / $204.79	Facility		$52.28	$116.73	$204.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $49.20 / $52.28	Professional		$44.78	$49.20	$52.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $299.51	Facility		$61.50	$61.50	$299.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Professional		$24.60	$24.60	$24.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $155.52 / $232.80	Professional		$101.76	$155.52	$232.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $114.15 / $279.08	Facility		$42.98	$114.15	$279.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $31.37 / $70.62	Professional		$22.59	$31.37	$70.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $76.88 / $91.02	Professional		$73.80	$76.88	$91.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $44.79 / $52.28	Facility		$29.48	$44.79	$52.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $51.95 / $78.00	Professional		$24.13	$51.95	$78.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $71.51 / $4,071.00	Facility		$43.05	$71.51	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $73.02 / $4,071.00	Professional		$39.97	$73.02	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $27.68 / $36.90	Professional		$20.16	$27.68	$36.90