Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $153.41 / $427.00	Facility		$44.98	$153.41	$427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.54 / $42.84	Professional		$32.13	$38.54	$42.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $210.56	Facility		$42.84	$42.84	$210.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $33.99	Professional		$21.15	$21.15	$33.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $67.02 / $174.46	Professional		$34.36	$67.02	$174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $109.43 / $219.75	Facility		$50.13	$109.43	$219.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $31.82 / $84.83	Professional		$21.79	$31.82	$84.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $51.41 / $63.40	Professional		$42.84	$51.41	$63.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $69.56 / $106.14	Facility		$40.46	$69.56	$106.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $65.00 / $101.40	Professional		$44.38	$65.00	$101.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $51.00 / $4,071.00	Facility		$37.29	$51.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $51.00 / $7,420.00	Professional		$37.29	$51.00	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $87.66	Facility		$42.84	$42.84	$87.66
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.28 / $55.69	Professional		$16.64	$22.28	$55.69