Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $190.55	Facility		$16.98	$16.98	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $199.53	Professional		$10.96	$15.85	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $46.77	Professional		$17.38	$22.39	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $19.05	Professional		$12.30	$13.49	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $186.21	Facility		$38.02	$117.49	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $107.15	Professional		$19.05	$22.91	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $50.12	Professional		$26.30	$40.74	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $218.78	Facility		$13.18	$25.70	$218.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $1,479.11	Facility		$16.22	$23.44	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $1,479.11	Professional		$16.22	$23.44	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $2,454.71	Facility		$229.09	$1,148.15	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $33.11	Professional		$12.88	$20.42	$33.11