Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $79.20 / $167.09	Facility		$30.35	$79.20	$167.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.35 / $30.98	Professional		$26.11	$30.35	$30.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $171.09	Facility		$34.81	$34.81	$171.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $29.25	Professional		$18.20	$18.20	$29.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $67.88 / $197.52	Professional		$34.81	$67.88	$197.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $81.81 / $169.47	Facility		$40.72	$81.81	$169.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $25.37 / $64.23	Professional		$17.36	$25.37	$64.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $41.77 / $66.14	Professional		$34.81	$41.77	$66.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $59.00 / $103.70	Facility		$32.17	$59.00	$103.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $61.00 / $83.54	Professional		$36.28	$61.00	$83.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $46.40 / $4,071.00	Facility		$31.33	$46.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $46.38 / $7,420.00	Professional		$31.33	$46.38	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.63 / $71.27	Professional		$20.89	$33.63	$71.27