Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $288.40	Facility		$72.44	$117.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $102.33	Professional		$60.26	$72.44	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $457.09	Facility		$295.12	$380.19	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $34.67	Professional		$19.95	$19.95	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $245.47 / $371.54	Professional		$56.23	$245.47	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $117.49 / $234.42	Facility		$45.71	$117.49	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $102.33	Professional		$51.29	$85.11	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $97.72	Professional		$70.79	$77.62	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $134.90	Facility		$70.79	$81.28	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $74.13	Professional		$64.57	$64.57	$74.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $7,413.10	Facility		$41.69	$77.62	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $10,000.00	Professional		$47.86	$77.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Facility		$30.90	$43.65	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $87.10	Professional		$30.90	$40.74	$87.10