Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $173.78	Facility		$54.95	$67.61	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $114.82	Professional		$54.95	$67.61	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Facility		$138.04	$138.04	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $147.91	Professional		$70.79	$70.79	$147.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Professional		$72.44	$72.44	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $75.86	Facility		$50.12	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $194.98	Professional		$97.72	$138.04	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $134.90	Professional		$75.86	$91.20	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $169.82	Facility		$56.23	$89.13	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $173.78	Professional		$74.13	$75.86	$173.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $398.11	Facility		$77.62	$112.20	$398.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $398.11	Professional		$77.62	$112.20	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $158.49	Facility		$38.90	$57.54	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $109.65	Professional		$57.54	$67.61	$109.65