Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $107.87 / $233.83	Facility		$46.30	$107.87	$233.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $44.46 / $125.07	Professional		$36.77	$44.46	$125.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $238.78	Facility		$49.03	$49.03	$238.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $24.21 / $29.66	Professional		$24.21	$24.21	$29.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $221.91 / $332.18	Professional		$145.19	$221.91	$332.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $126.27 / $251.60	Facility		$34.27	$126.27	$251.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $32.90 / $56.58	Professional		$27.78	$32.90	$56.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $61.29 / $72.56	Professional		$58.84	$61.29	$72.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $44.46 / $50.79	Facility		$41.09	$44.46	$50.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $80.00 / $119.00	Professional		$67.39	$80.00	$119.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $68.98 / $4,071.00	Facility		$38.13	$68.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $68.48 / $4,071.00	Professional		$38.13	$68.48	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $28.98 / $40.22	Professional		$20.59	$28.98	$40.22