Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $109.65	Facility		$34.67	$41.69	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $75.86	Professional		$34.67	$42.66	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $109.65	Professional		$52.48	$52.48	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $53.70 / $53.70	Facility		$48.98	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $123.03	Professional		$61.66	$89.13	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $87.10	Professional		$45.71	$57.54	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $117.49	Facility		$35.48	$60.26	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $109.65	Professional		$39.81	$47.86	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $257.04	Facility		$50.12	$72.44	$257.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $257.04	Professional		$50.12	$72.44	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $117.49	Facility		$29.51	$42.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $69.18	Professional		$38.90	$42.66	$69.18