Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $251.32 / $533.33	Facility		$66.29	$251.32	$533.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $63.18 / $92.35	Professional		$52.65	$63.18	$92.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $345.03	Facility		$70.20	$70.20	$345.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $54.43	Professional		$34.65	$34.65	$54.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $123.20 / $431.51	Professional		$63.18	$123.20	$431.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $175.82 / $359.00	Facility		$70.16	$175.82	$359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.10 / $138.81	Professional		$36.52	$52.10	$138.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.24 / $133.38	Professional		$70.20	$84.24	$133.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $121.31 / $171.84	Facility		$67.39	$121.31	$171.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $121.00 / $168.48	Professional		$70.20	$121.00	$168.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $91.61 / $7,420.00	Facility		$63.95	$91.61	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $92.11 / $7,420.00	Professional		$66.73	$92.11	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $98.07	Professional		$29.48	$42.12	$98.07