Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $77.47 / $216.15	Facility		$33.14	$77.47	$216.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.77 / $33.14	Professional		$26.32	$28.77	$33.14
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 / $27.69	Professional		$17.32	$17.32	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $215.78	Professional		$31.58	$61.58	$215.78
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 $17.82 / $25.92 / $69.41	Professional		$17.82	$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 / $60.69 / $88.18	Facility		$33.69	$60.69	$88.18
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 $28.77 / $42.52 / $149.74	Facility		$28.77	$42.52	$149.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $43.86 / $4,071.00	Professional		$30.53	$43.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $47.77	Professional		$14.74	$21.05	$47.77