Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $238.27 / $830.16	Facility		$69.59	$238.27	$830.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $67.14 / $69.59	Professional		$61.41	$67.14	$69.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $398.76	Facility		$81.88	$81.88	$398.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $49.53	Professional		$34.18	$34.18	$49.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $294.13 / $440.28	Professional		$192.45	$294.13	$440.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $178.55 / $397.11	Facility		$53.82	$178.55	$397.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $53.21 / $121.64	Professional		$40.90	$53.21	$121.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $102.35 / $121.18	Professional		$98.26	$102.35	$121.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $81.88	Facility		$40.94	$40.94	$81.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $94.44 / $112.00	Professional		$55.54	$94.44	$112.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $99.48 / $4,071.00	Facility		$59.77	$99.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $99.48 / $4,071.00	Professional		$59.77	$99.48	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Facility		$34.39	$34.39	$34.39
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $40.94 / $68.09	Professional		$34.39	$40.94	$68.09