Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $90.33 / $179.41	Facility		$44.95	$90.33	$179.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $39.02 / $44.95	Professional		$35.69	$39.02	$44.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $47.59 / $231.76	Facility		$47.59	$47.59	$231.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $28.79	Professional		$23.50	$23.50	$28.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $152.38 / $228.10	Professional		$99.70	$152.38	$228.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $117.16 / $243.21	Facility		$33.26	$117.16	$243.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $31.91 / $54.52	Professional		$26.97	$31.91	$54.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $59.49 / $70.43	Professional		$57.11	$59.49	$70.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $44.95	Facility		$25.22	$25.22	$44.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $82.06 / $116.00	Professional		$65.42	$82.06	$116.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $63.41 / $4,071.00	Facility		$37.02	$63.41	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $62.49 / $4,071.00	Professional		$37.02	$62.49	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $24.75 / $39.04	Professional		$19.75	$24.75	$39.04