Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $51.31 / $133.91	Facility		$49.00	$51.31	$133.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $67.20	Professional		$51.31	$51.31	$67.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.88 / $249.88 / $315.56	Facility		$194.88	$249.88	$315.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $73.76	Professional		$51.31	$51.31	$73.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $225.85	Professional		$51.33	$51.33	$225.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $85.71 / $263.38	Facility		$33.35	$85.71	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.72 / $67.95	Professional		$51.31	$56.72	$67.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $75.94	Professional		$51.31	$61.57	$75.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $70.29 / $102.62	Facility		$51.31	$70.29	$102.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $88.66 / $123.14	Professional		$75.98	$88.66	$123.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $51.31 / $94.92	Facility		$38.33	$51.31	$94.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $54.75 / $95.26	Professional		$42.07	$54.75	$95.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $29.25 / $55.31	Professional		$21.55	$29.25	$55.31