Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $73.20 / $103.99	Facility		$28.93	$73.20	$103.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $30.86 / $32.78	Professional		$22.68	$30.86	$32.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $187.84	Facility		$38.57	$38.57	$187.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $23.33	Professional		$15.43	$15.43	$23.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $124.97 / $187.06	Professional		$81.77	$124.97	$187.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $71.91 / $197.93	Facility		$25.07	$71.91	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.45 / $55.24	Professional		$16.07	$23.45	$55.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $48.21 / $57.08	Professional		$46.28	$48.21	$57.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $32.78	Facility		$13.58	$13.58	$32.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.57 / $81.00	Professional		$31.63	$38.57	$81.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $45.79 / $4,071.00	Facility		$27.00	$45.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.79 / $4,071.00	Professional		$27.00	$45.79	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Facility		$46.28	$46.28	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $19.29 / $38.57	Professional		$16.20	$19.29	$38.57