Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $82.89 / $164.64	Facility		$32.75	$82.89	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $37.88 / $61.56	Professional		$32.75	$37.88	$61.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $214.64	Facility		$43.67	$43.67	$214.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $31.65	Professional		$19.80	$19.80	$31.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $76.63 / $246.53	Professional		$39.29	$76.63	$246.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.09 / $103.45 / $212.52	Facility		$40.09	$103.45	$212.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $30.84 / $79.05	Professional		$21.78	$30.84	$79.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $52.40 / $82.97	Professional		$43.67	$52.40	$82.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $71.56 / $104.93	Facility		$40.15	$71.56	$104.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $75.00 / $104.81	Professional		$45.44	$75.00	$104.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $55.09 / $7,420.00	Facility		$38.78	$55.09	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $55.09 / $7,420.00	Professional		$38.78	$55.09	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.20 / $59.45	Professional		$18.34	$26.20	$59.45