Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $162.18	Facility		$51.29	$61.66	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $107.15	Professional		$51.29	$63.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $138.04	Facility		$128.82	$128.82	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $154.88	Professional		$74.13	$74.13	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $89.13	Professional		$67.61	$67.61	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $79.43 / $79.43	Facility		$52.48	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $181.97	Professional		$91.20	$128.82	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $125.89	Professional		$61.66	$85.11	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $165.96	Facility		$51.29	$87.10	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $162.18	Professional		$69.18	$77.62	$162.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $371.54	Facility		$72.44	$104.71	$371.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $371.54	Professional		$72.44	$104.71	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $61.66 / $165.96	Facility		$41.69	$61.66	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $102.33	Professional		$57.54	$63.10	$102.33