Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $121.83 / $213.75	Facility		$54.56	$121.83	$213.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $52.64 / $54.56	Professional		$48.14	$52.64	$54.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $312.61	Facility		$64.19	$64.19	$312.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $38.83	Professional		$25.68	$25.68	$38.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $176.26 / $263.83	Professional		$115.33	$176.26	$263.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $107.22 / $290.95	Facility		$42.19	$107.22	$290.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $38.51 / $94.96	Professional		$27.18	$38.51	$94.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $80.23 / $95.00	Professional		$77.03	$80.23	$95.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $57.77	Facility		$32.10	$32.10	$57.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $54.40 / $64.00	Professional		$41.72	$54.40	$64.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $71.89 / $4,071.00	Facility		$44.93	$71.89	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $71.89 / $4,071.00	Professional		$44.93	$71.89	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $28.89 / $41.72	Professional		$22.85	$28.89	$41.72