Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $93.24 / $319.55	Facility		$36.02	$93.24	$319.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $36.02 / $68.77	Professional		$31.79	$36.02	$68.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $208.30	Facility		$42.38	$42.38	$208.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $19.72 / $31.69	Professional		$19.72	$19.72	$31.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $74.37 / $213.97	Professional		$38.14	$74.37	$213.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $93.11 / $191.49	Facility		$49.59	$93.11	$191.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $28.44 / $74.04	Professional		$20.97	$28.44	$74.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $50.86 / $73.95	Professional		$42.38	$50.86	$73.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $65.09 / $117.82	Facility		$38.78	$65.09	$117.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $68.76 / $99.84	Professional		$44.04	$68.76	$99.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $51.30 / $4,071.00	Facility		$35.25	$51.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $51.30 / $7,420.00	Professional		$34.75	$51.30	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $38.99 / $80.23	Professional		$25.43	$38.99	$80.23