Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $144.54 / $389.05	Facility		$30.20	$144.54	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $60.26	Professional		$19.95	$30.20	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $162.18	Facility		$107.15	$128.82	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $61.66	Professional		$28.18	$40.74	$61.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $31.62 / $83.18	Professional		$7.94	$31.62	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $524.81	Facility		$57.54	$95.50	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $64.57	Professional		$24.55	$36.31	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $45.71	Professional		$30.20	$36.31	$45.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $69.18	Professional		$33.88	$42.66	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $61.66	Facility		$26.30	$38.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $51.29	Professional		$30.20	$30.20	$51.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $26.30 / $61.66	Facility		$9.33	$26.30	$61.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $32.36 / $79.43	Professional		$10.00	$32.36	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $24.55 / $186.21	Facility		$8.13	$24.55	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $60.26	Professional		$21.38	$33.11	$60.26