Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $93.37 / $178.64	Facility		$43.50	$93.37	$178.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $47.56 / $49.30	Professional		$40.60	$47.56	$49.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $285.07	Facility		$58.00	$58.00	$285.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $37.29	Professional		$23.20	$23.20	$37.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $59.40 / $123.29	Professional		$40.60	$59.40	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $78.65 / $262.75	Facility		$37.70	$78.65	$262.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $34.15 / $84.45	Professional		$13.61	$34.15	$84.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $69.02 / $85.84	Professional		$55.10	$69.02	$85.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $57.18 / $90.22	Facility		$34.50	$57.18	$90.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $54.00 / $136.78	Professional		$33.00	$54.00	$136.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $58.00 / $7,420.00	Facility		$28.02	$58.00	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $58.00 / $7,420.00	Professional		$28.40	$58.00	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $58.00 / $58.00	Facility		$25.22	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $25.52 / $43.21	Professional		$11.77	$25.52	$43.21