Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $80.75 / $153.72	Facility		$34.54	$80.75	$153.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $31.89 / $34.54	Professional		$27.43	$31.89	$34.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $36.57 / $178.10	Facility		$36.57	$36.57	$178.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $22.12	Professional		$18.05	$18.05	$22.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $165.53 / $247.79	Professional		$108.31	$165.53	$247.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $96.83 / $187.90	Facility		$25.55	$96.83	$187.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $24.60 / $42.13	Professional		$20.72	$24.60	$42.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $45.71 / $54.12	Professional		$43.88	$45.71	$54.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $31.88 / $34.54	Facility		$30.65	$31.88	$34.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $59.00 / $88.00	Professional		$50.27	$59.00	$88.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $51.46 / $4,071.00	Facility		$28.44	$51.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $51.09 / $4,071.00	Professional		$28.44	$51.09	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $36.57	Professional		$15.36	$21.94	$36.57