Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $93.75	Facility		$35.90	$35.90	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $174.93 / $220.91	Facility		$136.41	$174.93	$220.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $51.63	Professional		$35.92	$35.92	$51.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $158.05	Professional		$35.92	$35.92	$158.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $60.01 / $184.52	Facility		$23.35	$60.01	$184.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.71 / $47.58	Professional		$35.90	$39.71	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $43.10 / $53.16	Professional		$35.92	$43.10	$53.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $45.98 / $66.43	Facility		$35.90	$45.98	$66.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $62.86 / $86.21	Professional		$53.34	$62.86	$86.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $40.83 / $4,071.00	Facility		$30.06	$40.83	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $40.94 / $4,071.00	Professional		$31.10	$40.94	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Facility		$15.09	$15.09	$15.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $20.47 / $41.31	Professional		$15.08	$20.47	$41.31