Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $72.30 / $149.44	Facility		$32.52	$72.30	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $32.52 / $35.38	Professional		$25.82	$32.52	$35.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $169.22	Facility		$34.43	$34.43	$169.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $19.51 / $31.17	Professional		$19.51	$19.51	$31.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $67.14 / $211.68	Professional		$34.43	$67.14	$211.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $81.92 / $176.12	Facility		$40.28	$81.92	$176.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $25.41 / $68.83	Professional		$17.92	$25.41	$68.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $41.32 / $65.42	Professional		$34.43	$41.32	$65.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $62.17 / $95.72	Facility		$33.04	$62.17	$95.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $63.00 / $87.00	Professional		$35.93	$63.00	$87.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $50.28 / $277.00	Facility		$33.29	$50.28	$277.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $49.96 / $277.00	Professional		$33.29	$49.96	$277.00
United Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $41.32 / $41.32	Facility		$41.32	$41.32	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $33.26 / $70.50	Professional		$20.66	$33.26	$70.50