Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $105.80 / $171.68	Facility		$45.45	$105.80	$171.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $45.71 / $47.38	Professional		$41.81	$45.71	$47.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $273.95	Facility		$55.74	$55.74	$273.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $36.22	Professional		$22.30	$22.30	$36.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $76.09 / $174.46	Professional		$39.02	$76.09	$174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $120.98 / $252.36	Facility		$65.20	$120.98	$252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $34.43 / $91.73	Professional		$27.51	$34.43	$91.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $66.33 / $82.50	Professional		$55.74	$66.33	$82.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $72.33 / $106.14	Facility		$50.17	$72.33	$106.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $67.00 / $131.28	Professional		$55.00	$67.00	$131.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $60.76 / $7,420.00	Facility		$39.65	$60.76	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $62.43 / $7,420.00	Professional		$39.65	$62.43	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.99 / $58.33	Professional		$16.64	$26.99	$58.33