Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $149.28 / $242.24	Facility		$66.84	$149.28	$242.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $65.28 / $66.84	Professional		$58.99	$65.28	$66.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $383.03	Facility		$78.65	$78.65	$383.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $44.84	Professional		$31.46	$31.46	$44.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $179.14 / $268.16	Professional		$117.21	$179.14	$268.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $135.16 / $356.27	Facility		$54.96	$135.16	$356.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $40.11 / $90.45	Professional		$25.99	$40.11	$90.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $98.31 / $116.40	Professional		$94.38	$98.31	$116.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $57.29 / $66.84	Facility		$33.17	$57.29	$66.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $65.65 / $99.00	Professional		$54.40	$65.65	$99.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $95.20 / $4,071.00	Facility		$55.06	$95.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $98.31 / $4,071.00	Professional		$55.06	$98.31	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $33.03 / $47.19	Professional		$23.22	$33.03	$47.19