Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $130.19 / $221.95	Facility		$64.79	$130.19	$221.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $61.05 / $64.79	Professional		$51.45	$61.05	$64.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $337.17	Facility		$68.59	$68.59	$337.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $59.19	Professional		$38.86	$38.86	$59.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $133.77 / $421.70	Professional		$68.59	$133.77	$421.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $163.22 / $352.29	Facility		$80.26	$163.22	$352.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $50.81 / $137.13	Professional		$35.68	$50.81	$137.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $82.32 / $130.34	Professional		$68.59	$82.32	$130.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $118.48 / $161.49	Facility		$61.74	$118.48	$161.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $94.00 / $161.94	Professional		$71.16	$94.00	$161.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $82.46 / $547.02	Facility		$59.29	$82.46	$547.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $83.03 / $547.02	Professional		$61.74	$83.03	$547.02
United Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Facility		$28.81	$28.81	$28.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $65.48 / $142.94	Professional		$41.16	$65.48	$142.94