Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $131.94 / $536.03	Facility		$40.46	$131.94	$536.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.84 / $68.13	Professional		$32.13	$38.84	$68.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $210.56	Facility		$42.84	$42.84	$210.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $32.22	Professional		$21.15	$21.15	$32.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $75.19 / $263.33	Professional		$38.56	$75.19	$263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $110.79 / $219.75	Facility		$50.13	$110.79	$219.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $31.82 / $84.83	Professional		$21.79	$31.82	$84.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $51.41 / $81.40	Professional		$42.84	$51.41	$81.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $67.93 / $94.21	Facility		$35.79	$67.93	$94.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $44.98 / $101.40	Professional		$34.00	$44.98	$101.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $44.25 / $4,071.00	Facility		$28.40	$44.25	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $47.59 / $7,420.00	Professional		$28.40	$47.59	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $45.50	Professional		$17.98	$25.70	$45.50