Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $85.94 / $139.46	Facility		$45.23	$85.94	$139.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Professional		$45.23	$45.23	$45.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $220.51 / $278.47	Facility		$171.97	$220.51	$278.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $45.28 / $45.28	Professional		$33.22	$45.28	$45.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $146.55 / $219.37	Professional		$95.89	$146.55	$219.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $71.22 / $231.48	Facility		$29.43	$71.22	$231.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $45.23 / $52.04	Professional		$28.39	$45.23	$52.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $56.60 / $67.01	Professional		$54.34	$56.60	$67.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $45.23 / $95.09	Professional		$37.09	$45.23	$95.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $53.76 / $193.01	Facility		$32.25	$53.76	$193.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $54.75 / $193.01	Professional		$33.79	$54.75	$193.01
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $28.95 / $45.23	Professional		$22.64	$28.95	$45.23