Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $47.64 / $89.86	Facility		$23.67	$47.64	$89.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $20.58 / $23.67	Professional		$18.82	$20.58	$23.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $123.37	Facility		$25.10	$25.10	$123.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $52.84 / $70.53	Professional		$52.84	$52.84	$70.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.59 / $25.98	Professional		$20.07	$22.59	$25.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $46.68 / $129.16	Facility		$16.32	$46.68	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $120.98 / $120.98	Professional		$120.98	$120.98	$120.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $26.36 / $31.38	Professional		$23.85	$26.36	$31.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $25.23 / $40.38	Facility		$18.94	$25.23	$40.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $45.00 / $60.24	Professional		$34.00	$45.00	$60.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $21.04 / $40.26	Facility		$17.57	$21.04	$40.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $63.50	Professional		$17.57	$17.57	$63.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.70 / $16.71	Professional		$10.54	$11.70	$16.71