Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $158.83 / $296.80	Facility		$58.89	$158.83	$296.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $31.83 / $43.33	Professional		$27.95	$31.83	$43.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $37.27 / $183.18	Facility		$37.27	$37.27	$183.18
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 $33.54 / $65.40 / $218.72	Professional		$33.54	$65.40	$218.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $92.26 / $186.15	Facility		$43.61	$92.26	$186.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $27.67 / $69.59	Professional		$18.67	$27.67	$69.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $44.72 / $70.81	Professional		$37.27	$44.72	$70.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $60.65 / $85.26	Facility		$35.11	$60.65	$85.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $61.00 / $89.45	Professional		$38.75	$61.00	$89.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $47.11 / $4,071.00	Facility		$33.54	$47.11	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $47.11 / $4,071.00	Professional		$33.59	$47.11	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.24 / $50.74	Professional		$15.65	$21.24	$50.74