Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $107.75 / $183.69	Facility		$48.47	$107.75	$183.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $42.07 / $48.47	Professional		$38.47	$42.07	$48.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $252.19	Facility		$51.31	$51.31	$252.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $40.49	Professional		$25.34	$25.34	$40.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $90.05 / $278.74	Professional		$46.18	$90.05	$278.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $95.87 / $263.38	Facility		$33.35	$95.87	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $31.70 / $96.34	Professional		$26.09	$31.70	$96.34
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 $42.71 / $63.35 / $96.94	Facility		$42.71	$63.35	$96.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $89.00 / $123.14	Professional		$51.00	$89.00	$123.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $62.48 / $4,071.00	Facility		$46.18	$62.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $62.48 / $4,071.00	Professional		$46.67	$62.48	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $28.51 / $69.84	Professional		$21.55	$28.51	$69.84