Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $62.82 / $122.69	Facility		$42.13	$62.82	$122.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.35 / $205.61 / $259.64	Facility		$160.35	$205.61	$259.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $26.64	Professional		$8.99	$8.99	$26.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $136.50 / $204.33	Professional		$89.32	$136.50	$204.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $29.29 / $51.43	Facility		$29.00	$29.29	$51.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $51.43 / $73.88	Professional		$42.13	$51.43	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $64.29 / $76.12	Professional		$61.72	$64.29	$76.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $39.18 / $88.47	Professional		$34.54	$39.18	$88.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $54.00 / $106.96	Facility		$36.00	$54.00	$106.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $54.00 / $106.96	Professional		$36.00	$54.00	$106.96
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.45 / $33.43	Professional		$17.69	$21.45	$33.43