Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $163.34 / $297.98	Facility		$66.11	$163.34	$297.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $63.78 / $66.11	Professional		$58.34	$63.78	$66.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $378.79	Facility		$77.78	$77.78	$378.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $42.74	Professional		$31.11	$31.11	$42.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $173.11 / $259.14	Professional		$113.27	$173.11	$259.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $129.94 / $353.30	Facility		$54.35	$129.94	$353.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $39.67 / $89.21	Professional		$24.80	$39.67	$89.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $97.23 / $115.11	Professional		$93.34	$97.23	$115.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $56.65 / $70.00	Facility		$39.08	$56.65	$70.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $57.04 / $93.00	Professional		$50.56	$57.04	$93.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $92.35 / $4,071.00	Facility		$52.70	$92.35	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $92.35 / $4,071.00	Professional		$52.70	$92.35	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $32.67 / $32.67	Facility		$32.67	$32.67	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $35.00 / $50.56	Professional		$22.13	$35.00	$50.56