Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $173.12 / $291.48	Facility		$44.77	$173.12	$291.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $26.87 / $33.34	Professional		$22.02	$26.87	$33.34
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 $17.32 / $17.32 / $27.69	Professional		$17.32	$17.32	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $68.43 / $210.63	Professional		$35.09	$68.43	$210.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $77.23 / $179.50	Facility		$22.81	$77.23	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $25.92 / $69.41	Professional		$18.26	$25.92	$69.41
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 $33.46 / $54.51 / $67.27	Facility		$33.46	$54.51	$67.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $56.00 / $82.54	Professional		$35.00	$56.00	$82.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $44.88 / $4,071.00	Facility		$31.97	$44.88	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $44.88 / $4,071.00	Professional		$32.00	$44.88	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $35.09 / $57.44	Facility		$23.39	$35.09	$57.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.05	Professional		$14.74	$21.05	$55.05