Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $195.38 / $630.57	Facility		$60.83	$195.38	$630.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $57.53 / $60.83	Professional		$48.31	$57.53	$60.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $313.68	Facility		$64.41	$64.41	$313.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $38.96	Professional		$31.81	$31.81	$38.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $291.57 / $436.45	Professional		$190.78	$291.57	$436.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $164.66 / $330.47	Facility		$41.87	$164.66	$330.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $43.21 / $73.93	Professional		$36.50	$43.21	$73.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $80.51 / $95.33	Professional		$77.29	$80.51	$95.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $58.40 / $58.40	Facility		$53.32	$58.40	$58.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $97.39 / $157.00	Professional		$30.65	$97.39	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $85.82 / $4,071.00	Facility		$45.09	$85.82	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $84.06 / $4,071.00	Professional		$45.09	$84.06	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Facility		$27.05	$27.05	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.07 / $89.99	Professional		$27.05	$38.07	$89.99