Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $101.49 / $164.69	Facility		$45.45	$101.49	$164.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $45.45 / $46.00	Professional		$40.10	$45.45	$46.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $262.81	Facility		$53.47	$53.47	$262.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $34.75	Professional		$21.39	$21.39	$34.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $72.98 / $174.46	Professional		$37.43	$72.98	$174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.84 / $101.30 / $241.97	Facility		$60.84	$101.30	$241.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $32.50 / $79.34	Professional		$23.67	$32.50	$79.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $63.63 / $79.14	Professional		$53.47	$63.63	$79.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $64.16 / $106.14	Facility		$48.12	$64.16	$106.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $67.00 / $126.58	Professional		$55.00	$67.00	$126.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $55.96 / $7,420.00	Facility		$39.65	$55.96	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $59.89 / $7,420.00	Professional		$39.65	$59.89	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $53.47 / $71.54	Facility		$43.96	$53.47	$71.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.79 / $48.84	Professional		$16.64	$23.79	$48.84