Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $173.43	Facility		$66.45	$66.45	$173.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $61.47 / $67.56	Professional		$45.56	$61.47	$67.56
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 $32.11 / $32.11 / $42.86	Professional		$32.11	$32.11	$42.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $133.68 / $200.11	Professional		$87.47	$133.68	$200.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $128.19 / $293.37	Facility		$3.55	$128.19	$293.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $39.15 / $95.67	Professional		$24.92	$39.15	$95.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $63.23 / $104.97	Professional		$52.20	$63.23	$104.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.45 / $105.66	Facility		$30.20	$66.45	$105.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $81.00 / $172.15	Professional		$57.69	$81.00	$172.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $64.11 / $136.57	Facility		$43.42	$64.11	$136.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $66.47 / $141.43	Professional		$43.42	$66.47	$141.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.24 / $51.66	Professional		$23.99	$35.24	$51.66