Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $181.97	Facility		$57.54	$70.79	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $128.82	Professional		$57.54	$70.79	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Facility		$144.54	$144.54	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $165.96	Professional		$79.43	$79.43	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $81.28	Facility		$61.66	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Professional		$102.33	$144.54	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $144.54	Professional		$74.13	$95.50	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $177.83	Facility		$58.88	$97.72	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $181.97	Professional		$77.62	$95.50	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $416.87	Facility		$83.18	$120.23	$416.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $416.87	Professional		$83.18	$120.23	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $177.83	Facility		$44.67	$64.57	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $114.82	Professional		$64.57	$70.79	$114.82