Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $69.39 / $137.83	Facility		$34.53	$69.39	$137.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $30.34 / $34.53	Professional		$27.42	$30.34	$34.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $178.05	Facility		$36.56	$36.56	$178.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $22.11	Professional		$18.05	$18.05	$22.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $255.57 / $382.57	Professional		$167.23	$255.57	$382.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $122.84 / $194.83	Facility		$25.54	$122.84	$194.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $36.69 / $46.71	Professional		$20.71	$36.69	$46.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $45.70 / $54.11	Professional		$43.87	$45.70	$54.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $38.04 / $47.33	Facility		$32.90	$38.04	$47.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $85.37 / $140.00	Professional		$76.78	$85.37	$140.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $58.64 / $4,071.00	Facility		$28.43	$58.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $50.22 / $4,071.00	Professional		$28.43	$50.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $59.16	Professional		$15.36	$21.94	$59.16