Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $89.13	Facility		$12.88	$36.31	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $87.10	Professional		$12.02	$18.20	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $35.48	Professional		$15.14	$21.88	$35.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $56.23 / $269.15	Professional		$19.95	$56.23	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $870.96	Facility		$524.81	$776.25	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.02 / $125.89	Professional		$15.85	$38.02	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $27.54	Professional		$19.05	$25.12	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $120.23	Professional		$97.72	$102.33	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $147.91	Facility		$15.85	$27.54	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $147.91	Facility		$10.00	$15.85	$147.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $4,073.80	Professional		$10.00	$15.85	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $43.65 / $95.50	Facility		$11.75	$43.65	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $112.20	Professional		$14.45	$26.92	$112.20