Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $88.69 / $177.72	Facility		$35.15	$88.69	$177.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $51.31 / $87.22	Professional		$35.92	$51.31	$87.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.88 / $249.88 / $315.56	Facility		$194.88	$249.88	$315.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $73.76	Professional		$51.31	$51.31	$73.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $225.85	Professional		$51.33	$51.33	$225.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $85.71 / $263.38	Facility		$33.35	$85.71	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $42.67 / $88.06	Professional		$26.34	$42.67	$88.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $75.94	Professional		$51.31	$61.57	$75.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $70.29 / $102.62	Facility		$51.31	$70.29	$102.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $53.88 / $123.14	Professional		$51.00	$53.88	$123.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $54.98 / $4,071.00	Facility		$42.90	$54.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $55.93 / $4,071.00	Professional		$44.38	$55.93	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $35.92 / $51.33	Professional		$30.79	$35.92	$51.33