Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $78.90 / $180.86	Facility		$30.38	$78.90	$180.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $29.31 / $30.38	Professional		$26.81	$29.31	$30.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $35.74 / $174.05	Facility		$35.74	$35.74	$174.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $21.62	Professional		$14.30	$14.30	$21.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $121.21 / $181.44	Professional		$79.31	$121.21	$181.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $77.59 / $161.81	Facility		$24.97	$77.59	$161.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $21.44 / $40.89	Professional		$16.28	$21.44	$40.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $44.68 / $52.90	Professional		$42.89	$44.68	$52.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $26.03 / $32.17	Facility		$23.78	$26.03	$32.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $40.47 / $67.00	Professional		$28.96	$40.47	$67.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $43.26 / $4,071.00	Facility		$25.02	$43.26	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $42.43 / $4,071.00	Professional		$25.02	$42.43	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $42.89 / $42.89	Facility		$42.89	$42.89	$42.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $17.87 / $23.23	Professional		$15.01	$17.87	$23.23