Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $199.10 / $463.02	Facility		$44.37	$199.10	$463.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $42.28 / $44.37	Professional		$35.24	$42.28	$44.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $228.79	Facility		$46.98	$46.98	$228.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $28.42	Professional		$23.20	$23.20	$28.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $212.71 / $318.39	Professional		$139.18	$212.71	$318.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $111.93 / $239.88	Facility		$32.83	$111.93	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $31.58 / $54.10	Professional		$26.62	$31.58	$54.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $58.73 / $69.53	Professional		$56.38	$58.73	$69.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $42.61 / $48.67	Facility		$39.39	$42.61	$48.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $71.05 / $114.00	Professional		$64.34	$71.05	$114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $64.34 / $4,071.00	Facility		$36.54	$64.34	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $62.62 / $4,071.00	Professional		$36.54	$62.62	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.19 / $38.75	Professional		$19.73	$28.19	$38.75