Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $122.25 / $242.83	Facility		$60.83	$122.25	$242.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $53.46 / $60.83	Professional		$48.31	$53.46	$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 $53.99 / $69.70 / $69.70	Facility		$53.99	$69.70	$69.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $97.39 / $157.00	Professional		$11.62	$97.39	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $85.86 / $4,071.00	Facility		$50.10	$85.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $85.82 / $4,071.00	Professional		$50.10	$85.82	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $64.41 / $110.71	Facility		$42.94	$64.41	$110.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.00 / $64.41	Professional		$27.05	$38.00	$64.41