Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $82.11 / $445.04	Facility		$51.42	$82.11	$445.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $51.42 / $51.42	Professional		$48.39	$51.42	$51.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.44 / $29.14	Facility		$8.91	$18.44	$29.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $48.39 / $64.97	Professional		$48.39	$48.39	$64.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $85.00	Facility		$51.42	$51.42	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $136.35 / $162.11	Professional		$22.07	$136.35	$162.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $47.19 / $81.66	Facility		$8.91	$47.19	$81.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $18.00 / $46.00	Professional		$11.69	$18.00	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $57.47 / $75.59	Facility		$50.40	$57.47	$75.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $57.47 / $75.59	Professional		$50.40	$57.47	$75.59
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $53.42 / $64.53	Professional		$50.40	$53.42	$64.53