Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $97.39 / $183.69	Facility		$38.47	$97.39	$183.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $42.07 / $48.47	Professional		$38.47	$42.07	$48.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $252.19	Facility		$51.31	$51.31	$252.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $40.72	Professional		$25.34	$25.34	$40.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $90.05 / $319.79	Professional		$46.18	$90.05	$319.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $126.64 / $263.38	Facility		$60.03	$126.64	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $37.97 / $101.54	Professional		$26.71	$37.97	$101.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $97.49	Professional		$51.31	$61.57	$97.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $88.25 / $116.79	Facility		$42.71	$88.25	$116.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $67.00 / $121.06	Professional		$53.19	$67.00	$121.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $57.47 / $4,071.00	Facility		$41.73	$57.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $57.47 / $4,071.00	Professional		$41.73	$57.47	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.33 / $74.06	Professional		$21.55	$30.33	$74.06