Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $210.96 / $526.25	Facility		$54.62	$210.96	$526.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.54 / $40.46	Professional		$32.13	$38.54	$40.46
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 / $89.22	Professional		$21.79	$31.82	$89.22
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 $38.56 / $52.05 / $642.80	Facility		$38.56	$52.05	$642.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $52.05 / $4,071.00	Professional		$38.56	$52.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.40 / $55.69	Professional		$16.64	$23.40	$55.69