Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $66.59 / $132.29	Facility		$26.32	$66.59	$132.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $28.77 / $44.74	Professional		$18.60	$28.77	$44.74
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 / $27.85	Professional		$17.32	$17.32	$27.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $68.43 / $218.72	Professional		$35.09	$68.43	$218.72
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 $18.26 / $25.92 / $69.41	Professional		$18.26	$25.92	$69.41
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 / $60.65 / $85.92	Facility		$33.69	$60.65	$85.92
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 $32.61 / $45.95 / $4,071.00	Facility		$32.61	$45.95	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $45.95 / $4,071.00	Professional		$32.76	$45.95	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $35.09 / $60.32	Facility		$23.39	$35.09	$60.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $47.77	Professional		$14.74	$21.05	$47.77