Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $133.24 / $295.91	Facility		$52.65	$133.24	$295.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $57.56 / $81.02	Professional		$37.21	$57.56	$81.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $345.03	Facility		$70.20	$70.20	$345.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $69.33	Professional		$42.12	$42.12	$69.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $123.20 / $381.30	Professional		$63.18	$123.20	$381.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $131.18 / $359.00	Facility		$45.63	$131.18	$359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $61.40 / $131.91	Professional		$40.04	$61.40	$131.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.24 / $103.90	Professional		$70.20	$84.24	$103.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $86.66 / $132.58	Facility		$58.44	$86.66	$132.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $96.00 / $168.48	Professional		$70.00	$96.00	$168.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $85.55 / $4,071.00	Facility		$63.18	$85.55	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $85.55 / $4,071.00	Professional		$63.91	$85.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $99.66	Professional		$29.48	$42.12	$99.66