Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $95.50 / $247.82	Facility		$35.00	$95.50	$247.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $66.78 / $68.39	Professional		$60.35	$66.78	$68.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $391.84	Facility		$80.45	$80.45	$391.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $32.18 / $41.67	Professional		$32.18	$32.18	$41.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.97 / $58.35	Professional		$25.50	$38.97	$58.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $56.23 / $365.18	Facility		$20.63	$56.23	$365.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $41.04 / $92.51	Professional		$5.61	$41.04	$92.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $100.58 / $119.08	Professional		$96.55	$100.58	$119.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $58.60 / $68.39	Facility		$7.65	$58.60	$68.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.00 / $23.00	Professional		$11.84	$14.00	$23.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $93.56 / $4,071.00	Facility		$12.68	$93.56	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $95.53 / $4,071.00	Professional		$12.50	$95.53	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $33.79 / $48.28	Professional		$5.05	$33.79	$48.28