Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $79.26 / $149.50	Facility		$39.44	$79.26	$149.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $34.24 / $39.44	Professional		$31.32	$34.24	$39.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $205.25	Facility		$41.76	$41.76	$205.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $33.14	Professional		$20.62	$20.62	$33.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $65.34 / $174.46	Professional		$33.51	$65.34	$174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $103.33 / $214.73	Facility		$48.85	$103.33	$214.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $31.05 / $82.90	Professional		$21.30	$31.05	$82.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $50.11 / $61.80	Professional		$41.76	$50.11	$61.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $69.39 / $106.14	Facility		$39.44	$69.39	$106.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $65.00 / $98.26	Professional		$43.32	$65.00	$98.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $49.03 / $7,420.00	Facility		$37.29	$49.03	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $49.58 / $7,420.00	Professional		$37.29	$49.58	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.40 / $54.29	Professional		$16.64	$23.40	$54.29