Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $149.94 / $420.39	Facility		$24.38	$149.94	$420.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $26.66 / $46.15	Professional		$22.64	$26.66	$46.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $112.81 / $147.58	Facility		$89.45	$112.81	$147.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $32.86 / $50.57	Professional		$26.14	$32.86	$50.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $32.50 / $89.33	Professional		$28.57	$32.50	$89.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $80.64 / $500.00	Facility		$44.71	$80.64	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $35.63 / $62.61	Professional		$23.06	$35.63	$62.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $33.79 / $41.41	Professional		$28.16	$33.79	$41.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $38.47 / $56.63	Facility		$25.31	$38.47	$56.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $27.00 / $48.00	Professional		$12.00	$27.00	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $26.41 / $48.10	Facility		$11.12	$26.41	$48.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $58.07	Professional		$12.30	$33.11	$58.07
United Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $185.87 / $185.87	Facility		$35.76	$185.87	$185.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $34.75 / $59.20	Professional		$23.17	$34.75	$59.20