Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $308.74 / $649.74	Facility		$68.65	$308.74	$649.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.94 / $38.57	Professional		$20.89	$23.94	$38.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,418.44 / $1,791.25	Facility		$1,106.21	$1,418.44	$1,791.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $21.55	Professional		$18.29	$18.29	$21.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $91.85 / $137.50	Professional		$60.10	$91.85	$137.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $71.69 / $185.56	Facility		$2.08	$71.69	$185.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $25.71 / $40.94	Professional		$13.71	$25.71	$40.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $44.28 / $45.31	Professional		$43.49	$44.28	$45.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $23.93 / $32.36	Facility		$18.89	$23.93	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $23.93 / $27.75	Professional		$8.86	$23.93	$27.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $53.07 / $4,071.00	Facility		$26.18	$53.07	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $54.10 / $4,071.00	Professional		$26.91	$54.10	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $20.12 / $28.22	Professional		$13.15	$20.12	$28.22