Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $174.29 / $1,371.57	Facility		$43.51	$174.29	$1,371.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $43.51 / $165.08	Professional		$38.39	$43.51	$165.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $251.60	Facility		$51.19	$51.19	$251.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $36.56	Professional		$22.75	$22.75	$36.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $89.84 / $246.88	Professional		$46.07	$89.84	$246.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $112.60 / $231.57	Facility		$59.89	$112.60	$231.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $32.96 / $85.81	Professional		$25.33	$32.96	$85.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $61.43 / $85.32	Professional		$51.19	$61.43	$85.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $74.91 / $139.36	Facility		$46.84	$74.91	$139.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $78.00 / $121.06	Professional		$53.19	$78.00	$121.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $60.78 / $4,071.00	Facility		$41.98	$60.78	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $61.40 / $7,420.00	Professional		$41.91	$61.40	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $47.09 / $89.78	Professional		$30.71	$47.09	$89.78