Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $143.49 / $232.85	Facility		$56.70	$143.49	$232.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $61.99 / $64.26	Professional		$56.70	$61.99	$64.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $368.17	Facility		$75.59	$75.59	$368.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $46.09	Professional		$30.24	$30.24	$46.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $63.45 / $131.69	Professional		$52.92	$63.45	$131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $126.84 / $387.47	Facility		$49.14	$126.84	$387.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $38.56 / $111.90	Professional		$14.74	$38.56	$111.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $90.72 / $111.89	Professional		$75.59	$90.72	$111.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $55.06 / $90.72	Facility		$37.79	$55.06	$90.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $78.55 / $178.44	Professional		$29.93	$78.55	$178.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $75.59 / $320.51	Facility		$29.93	$75.59	$320.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $75.59 / $320.51	Professional		$29.93	$75.59	$320.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $34.02 / $45.36	Professional		$12.57	$34.02	$45.36