Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $106.81 / $169.36	Facility		$43.23	$106.81	$169.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $39.67 / $50.86	Professional		$36.49	$39.67	$50.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $50.86 / $247.69	Facility		$50.86	$50.86	$247.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $20.34 / $26.34	Professional		$20.34	$20.34	$26.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $155.78 / $233.19	Professional		$101.93	$155.78	$233.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $98.37 / $230.09	Facility		$35.54	$98.37	$230.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $28.11 / $58.23	Professional		$13.93	$28.11	$58.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $63.58 / $75.27	Professional		$61.03	$63.58	$75.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $37.04 / $43.23	Facility		$26.27	$37.04	$43.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $33.06 / $55.00	Professional		$18.91	$33.06	$55.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $56.96 / $4,071.00	Facility		$18.91	$56.96	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $59.14 / $4,071.00	Professional		$25.43	$59.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $22.38 / $30.52	Professional		$7.94	$22.38	$30.52