Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $108.08 / $288.73	Facility		$29.83	$108.08	$288.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $31.28 / $45.62	Professional		$20.46	$31.28	$45.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $22.80	Professional		$14.04	$14.04	$22.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $154.40	Professional		$31.58	$61.58	$154.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $65.59 / $179.50	Facility		$22.81	$65.59	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $21.60 / $50.88	Professional		$17.45	$21.60	$50.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $51.93	Professional		$35.09	$42.11	$51.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $36.06 / $59.66	Facility		$27.90	$36.06	$59.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $48.00 / $84.22	Professional		$34.00	$48.00	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $39.29 / $4,071.00	Facility		$24.56	$39.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $39.29 / $4,071.00	Professional		$24.56	$39.29	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $18.25 / $40.35	Professional		$14.74	$18.25	$40.35