Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $193.14 / $385.70	Facility		$73.69	$193.14	$385.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.58 / $63.75	Professional		$22.81	$31.58	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $27.69	Professional		$17.32	$17.32	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $215.78	Professional		$31.58	$61.58	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $87.92 / $179.50	Facility		$41.06	$87.92	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $25.92 / $79.94	Professional		$17.82	$25.92	$79.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.67	Professional		$35.09	$42.11	$66.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $60.69 / $103.31	Facility		$33.69	$60.69	$103.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $61.00 / $84.22	Professional		$36.63	$61.00	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $46.29 / $4,071.00	Facility		$33.36	$46.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $46.29 / $7,420.00	Professional		$33.36	$46.29	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $47.77	Professional		$14.74	$21.05	$47.77