Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $121.83 / $197.71	Facility		$48.14	$121.83	$197.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $53.28 / $54.56	Professional		$48.14	$53.28	$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 / $36.70	Professional		$25.68	$25.68	$36.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $132.19 / $197.88	Professional		$86.50	$132.19	$197.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $104.30 / $290.95	Facility		$42.19	$104.30	$290.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $38.51 / $94.96	Professional		$20.38	$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 $40.79 / $40.79 / $48.00	Professional		$40.79	$40.79	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $71.89 / $4,071.00	Facility		$40.79	$71.89	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $71.89 / $4,071.00	Professional		$40.79	$71.89	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $77.03 / $77.03	Facility		$77.03	$77.03	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $28.24 / $40.79	Professional		$17.14	$28.24	$40.79