Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $119.00 / $336.96	Facility		$35.63	$119.00	$336.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $34.20 / $35.63	Professional		$28.30	$34.20	$35.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $183.75	Facility		$37.72	$37.72	$183.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $22.82	Professional		$18.63	$18.63	$22.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $170.75 / $255.60	Professional		$111.72	$170.75	$255.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $90.06 / $192.92	Facility		$26.37	$90.06	$192.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.26 / $43.37	Professional		$21.38	$25.26	$43.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $47.16 / $55.84	Professional		$45.28	$47.16	$55.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $34.21 / $39.08	Facility		$31.62	$34.21	$39.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $57.04 / $93.00	Professional		$51.85	$57.04	$93.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $51.25 / $4,071.00	Facility		$29.34	$51.25	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $50.27 / $4,071.00	Professional		$29.34	$50.27	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $37.72 / $64.84	Facility		$25.15	$37.72	$64.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.26 / $37.72	Professional		$15.85	$22.26	$37.72