Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $64.55 / $120.50	Facility		$41.38	$64.55	$120.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $73.65	Professional		$41.38	$41.38	$73.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $202.20 / $255.35	Facility		$157.69	$202.20	$255.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $59.48	Professional		$41.38	$41.38	$59.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $41.38 / $61.56	Professional		$33.02	$41.38	$61.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $69.13 / $211.35	Facility		$26.90	$69.13	$211.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $34.25 / $70.67	Professional		$21.14	$34.25	$70.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $49.66 / $61.24	Professional		$41.38	$49.66	$61.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $52.97 / $75.73	Facility		$41.38	$52.97	$75.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $57.00 / $99.31	Professional		$41.38	$57.00	$99.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $43.45 / $176.59	Facility		$28.97	$43.45	$176.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $45.10 / $4,071.00	Professional		$32.67	$45.10	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $31.04 / $46.19	Professional		$24.83	$31.04	$46.19