Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $77.25 / $127.71	Facility		$34.60	$77.25	$127.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $34.60 / $36.22	Professional		$30.53	$34.60	$36.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $200.04	Facility		$40.70	$40.70	$200.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $16.28 / $26.45	Professional		$16.28	$16.28	$26.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $63.49 / $164.60	Professional		$32.56	$63.49	$164.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $77.59 / $184.07	Facility		$46.67	$77.59	$184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.68 / $60.54	Professional		$18.07	$24.68	$60.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $48.84 / $60.24	Professional		$40.70	$48.84	$60.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $54.55 / $92.92	Facility		$37.25	$54.55	$92.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $56.00 / $95.90	Professional		$42.27	$56.00	$95.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $44.59 / $4,071.00	Facility		$33.36	$44.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $45.58 / $7,420.00	Professional		$30.53	$45.58	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $34.78 / $65.12	Professional		$22.45	$34.78	$65.12