Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $306.73 / $791.16	Facility		$33.32	$306.73	$791.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.61 / $33.32	Professional		$28.00	$32.61	$33.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $20.51	Professional		$15.84	$15.84	$20.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $71.02 / $106.31	Professional		$46.47	$71.02	$106.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $62.18 / $160.32	Facility		$1.80	$62.18	$160.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $22.22 / $35.38	Professional		$10.88	$22.22	$35.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $38.15 / $39.04	Professional		$37.47	$38.15	$39.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $16.97 / $28.00	Facility		$14.57	$16.97	$28.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $24.29 / $31.07	Professional		$14.57	$24.29	$31.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $45.85 / $4,071.00	Facility		$21.27	$45.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $46.75 / $4,071.00	Professional		$22.62	$46.75	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $30.20 / $152.32	Facility		$12.79	$30.20	$152.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $16.22 / $23.18	Professional		$11.23	$16.22	$23.18