Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $102.83 / $154.34	Facility		$50.29	$102.83	$154.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $39.40 / $46.35	Professional		$33.51	$39.40	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $225.72	Facility		$46.35	$46.35	$225.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $28.04 / $34.02	Professional		$16.18	$28.04	$34.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $85.11 / $127.41	Professional		$55.69	$85.11	$127.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $78.95 / $238.19	Facility		$30.13	$78.95	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $24.37 / $48.38	Professional		$21.12	$24.37	$48.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $57.94 / $68.59	Professional		$55.62	$57.94	$68.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $37.08 / $55.62	Facility		$33.76	$37.08	$55.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $30.13 / $97.34	Professional		$19.44	$30.13	$97.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $56.10 / $7,420.00	Facility		$30.13	$56.10	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $56.10 / $7,420.00	Professional		$30.13	$56.10	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.18 / $30.13	Facility		$16.22	$23.18	$30.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $27.81	Professional		$8.16	$19.47	$27.81