Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $215.43 / $440.63	Facility		$68.00	$215.43	$440.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $30.78 / $39.26	Professional		$29.58	$30.78	$39.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $191.20	Facility		$39.26	$39.26	$191.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $23.56 / $23.75	Professional		$23.56	$23.56	$23.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $153.66 / $230.04	Professional		$100.55	$153.66	$230.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $88.63 / $179.20	Facility		$27.43	$88.63	$179.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $26.10 / $58.00	Professional		$20.03	$26.10	$58.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $49.08 / $58.10	Professional		$47.11	$49.08	$58.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $30.78 / $39.26	Facility		$29.13	$30.78	$39.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $51.33 / $82.00	Professional		$32.19	$51.33	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $50.38 / $4,071.00	Facility		$27.48	$50.38	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $49.80 / $4,071.00	Professional		$27.48	$49.80	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.82 / $28.46	Professional		$16.48	$20.82	$28.46