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 $147.91 / $147.91 / $154.88	Facility		$147.91	$147.91	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $93.33	Professional		$44.67	$44.67	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $100.00	Professional		$77.62	$77.62	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $83.18	Facility		$64.57	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $83.18	Professional		$61.66	$61.66	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $204.17	Professional		$102.33	$147.91	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $173.78	Facility		$66.07	$93.33	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $181.97	Professional		$79.43	$95.50	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $1,288.25	Facility		$81.28	$128.82	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $1,288.25	Professional		$81.28	$128.82	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $213.80	Facility		$46.77	$66.07	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $117.49	Professional		$67.61	$72.44	$117.49