Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $74.52 / $142.74	Facility		$33.36	$74.52	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $32.19 / $34.94	Professional		$29.45	$32.19	$34.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $192.96	Facility		$39.26	$39.26	$192.96
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 $39.26 / $76.56 / $215.78	Professional		$39.26	$76.56	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $87.92 / $186.15	Facility		$45.94	$87.92	$186.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $26.98 / $70.05	Professional		$19.46	$26.98	$70.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $47.11 / $74.56	Professional		$39.26	$47.11	$74.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $61.58 / $88.18	Facility		$35.36	$61.58	$88.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $64.00 / $92.76	Professional		$40.86	$64.00	$92.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $48.02 / $7,420.00	Facility		$34.15	$48.02	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $48.02 / $7,420.00	Professional		$35.33	$48.02	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $51.04	Professional		$16.48	$23.56	$51.04