Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $125.04 / $344.68	Facility		$35.43	$125.04	$344.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $33.34 / $37.10	Professional		$31.26	$33.34	$37.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $41.68 / $204.86	Facility		$41.68	$41.68	$204.86
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 $33.34 / $65.01 / $215.78	Professional		$33.34	$65.01	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $91.67 / $188.53	Facility		$48.76	$91.67	$188.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $26.98 / $73.91	Professional		$20.56	$26.98	$73.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $50.02 / $74.56	Professional		$41.68	$50.02	$74.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $63.89 / $88.18	Facility		$37.56	$63.89	$88.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $63.00 / $98.26	Professional		$43.32	$63.00	$98.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $49.03 / $7,420.00	Facility		$36.26	$49.03	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $49.04 / $7,420.00	Professional		$36.26	$49.04	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $25.01 / $56.74	Professional		$17.51	$25.01	$56.74