Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $338.84	Facility		$34.67	$93.33	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $38.02	Professional		$23.99	$30.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $933.25	Facility		$602.56	$776.25	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $28.84	Professional		$17.38	$17.38	$28.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $112.20	Professional		$47.86	$81.28	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $66.07 / $165.96	Facility		$1.86	$66.07	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $50.12	Professional		$12.30	$19.95	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $60.26	Professional		$28.84	$36.31	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $53.70	Facility		$15.49	$35.48	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.95	Professional		$15.49	$15.49	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $87.10	Facility		$20.89	$30.90	$87.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $87.10	Professional		$22.91	$32.36	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $151.36 / $794.33	Facility		$12.88	$151.36	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $26.92	Professional		$11.48	$17.78	$26.92