Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $169.82	Facility		$53.70	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $100.00	Professional		$48.98	$61.66	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Facility		$134.90	$134.90	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $131.83	Professional		$63.10	$63.10	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $87.10	Facility		$57.54	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Professional		$63.10	$63.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $190.55	Professional		$95.50	$134.90	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $131.83	Professional		$57.54	$89.13	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $154.88	Facility		$47.86	$87.10	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $169.82	Professional		$60.26	$72.44	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $389.05	Facility		$75.86	$109.65	$389.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $389.05	Professional		$75.86	$109.65	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $138.04	Facility		$34.67	$50.12	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $104.71	Professional		$50.12	$66.07	$104.71