Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $283.41 / $535.92	Facility		$69.27	$283.41	$535.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $64.59 / $66.95	Professional		$52.13	$64.59	$66.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $383.61	Facility		$78.77	$78.77	$383.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $31.51 / $40.79	Professional		$31.51	$31.51	$40.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $128.47 / $192.30	Professional		$84.06	$128.47	$192.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $102.82 / $357.75	Facility		$51.77	$102.82	$357.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $47.26 / $117.02	Professional		$20.79	$47.26	$117.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $98.46 / $116.58	Professional		$94.52	$98.46	$116.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $39.39 / $66.95	Facility		$23.79	$39.39	$66.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $39.01 / $70.00	Professional		$12.07	$39.01	$70.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $90.59 / $4,071.00	Facility		$39.94	$90.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $91.59 / $4,071.00	Professional		$39.94	$91.59	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $78.77 / $78.77	Facility		$35.69	$78.77	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $33.08 / $47.26	Professional		$16.64	$33.08	$47.26