Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $106.13 / $160.63	Facility		$41.00	$106.13	$160.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $39.56 / $42.93	Professional		$36.18	$39.56	$42.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $48.24 / $237.10	Facility		$48.24	$48.24	$237.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $31.35	Professional		$19.30	$19.30	$31.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $75.25 / $215.78	Professional		$38.59	$75.25	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $101.71 / $218.21	Facility		$56.45	$101.71	$218.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $29.33 / $79.42	Professional		$23.52	$29.33	$79.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $57.89 / $74.56	Professional		$48.24	$57.89	$74.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $63.89 / $88.18	Facility		$43.46	$63.89	$88.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $66.00 / $113.98	Professional		$50.02	$66.00	$113.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $54.03 / $7,420.00	Facility		$37.29	$54.03	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $54.03 / $7,420.00	Professional		$37.29	$54.03	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $26.99 / $56.40	Professional		$20.26	$26.99	$56.40