Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $111.26 / $180.55	Facility		$45.45	$111.26	$180.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $48.07 / $49.83	Professional		$43.97	$48.07	$49.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $288.12	Facility		$58.62	$58.62	$288.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $23.45 / $38.10	Professional		$23.45	$23.45	$38.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $80.01 / $174.46	Professional		$41.03	$80.01	$174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $124.15 / $265.72	Facility		$68.58	$124.15	$265.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $35.59 / $96.76	Professional		$28.61	$35.59	$96.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $69.76 / $86.76	Professional		$58.62	$69.76	$86.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $73.98 / $106.14	Facility		$52.75	$73.98	$106.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $67.00 / $138.36	Professional		$55.00	$67.00	$138.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $62.43 / $7,420.00	Facility		$41.03	$62.43	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $65.65 / $7,420.00	Professional		$41.03	$65.65	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $70.34 / $70.34	Facility		$70.34	$70.34	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.99 / $59.85	Professional		$16.64	$26.99	$59.85