Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.72 / $76.72 / $200.24	Facility		$76.72	$76.72	$200.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $71.01 / $78.06	Professional		$52.54	$71.01	$78.06
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 $37.01 / $37.01 / $49.52	Professional		$37.01	$37.01	$49.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.56 / $201.42	Professional		$88.04	$134.56	$201.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $148.19 / $338.92	Facility		$4.09	$148.19	$338.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $45.99 / $118.83	Professional		$29.75	$45.99	$118.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $73.26 / $121.61	Professional		$60.48	$73.26	$121.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $77.69 / $129.66	Facility		$36.40	$77.69	$129.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $126.00 / $198.89	Professional		$83.00	$126.00	$198.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $80.52 / $157.78	Facility		$50.12	$80.52	$157.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $80.52 / $163.08	Professional		$50.12	$80.52	$163.08
United Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $46.83 / $60.97	Professional		$28.97	$46.83	$60.97