Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.11 / $302.00	Facility		$32.36	$85.11	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $131.83	Professional		$33.88	$51.29	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $125.89	Professional		$60.26	$60.26	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $67.61	Facility		$42.66	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $104.71	Professional		$48.98	$69.18	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $117.49	Facility		$33.88	$66.07	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $95.50	Professional		$53.70	$57.54	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $309.03	Facility		$54.95	$79.43	$309.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $309.03	Professional		$54.95	$79.43	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $151.36	Facility		$33.11	$48.98	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $83.18	Professional		$46.77	$52.48	$83.18