Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $258.00 / $525.35	Facility		$71.97	$258.00	$525.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.70 / $61.98	Professional		$50.11	$52.70	$61.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $301.83	Facility		$61.98	$61.98	$301.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $37.49	Professional		$30.61	$30.61	$37.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $284.44 / $425.78	Professional		$186.11	$284.44	$425.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $161.88 / $317.05	Facility		$43.31	$161.88	$317.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $41.55 / $71.45	Professional		$35.11	$41.55	$71.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $77.48 / $91.73	Professional		$74.38	$77.48	$91.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $52.14 / $64.20	Facility		$51.95	$52.14	$64.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $93.72 / $151.00	Professional		$49.74	$93.72	$151.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $82.58 / $4,071.00	Facility		$48.21	$82.58	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $82.58 / $4,071.00	Professional		$48.21	$82.58	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $37.19 / $61.98	Professional		$26.03	$37.19	$61.98