Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $124.33 / $474.42	Facility		$48.03	$124.33	$474.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $45.42 / $48.03	Professional		$38.15	$45.42	$48.03
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 $25.11 / $25.11 / $26.34	Professional		$25.11	$25.11	$26.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $230.20 / $344.59	Professional		$150.63	$230.20	$344.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $120.69 / $260.00	Facility		$35.54	$120.69	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $34.07 / $58.23	Professional		$28.82	$34.07	$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 $42.18 / $46.10 / $48.03	Facility		$42.18	$46.10	$48.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $69.90 / $99.14	Professional		$43.64	$69.90	$99.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $61.79 / $4,071.00	Facility		$32.96	$61.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $63.58 / $4,071.00	Professional		$32.96	$63.58	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.06 / $43.54	Professional		$21.36	$30.06	$43.54