Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $51.45 / $83.50	Facility		$20.32	$51.45	$83.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $22.23 / $23.04	Professional		$20.32	$22.23	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $132.03	Facility		$27.11	$27.11	$132.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $16.39	Professional		$10.84	$10.84	$16.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $79.80 / $119.46	Professional		$52.22	$79.80	$119.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $50.46 / $139.25	Facility		$17.82	$50.46	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $14.92 / $31.39	Professional		$11.47	$14.92	$31.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.89 / $40.11	Professional		$32.53	$33.89	$40.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $27.11	Facility		$11.47	$11.47	$27.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $24.63 / $24.63	Professional		$17.62	$24.63	$24.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $30.45 / $4,071.00	Facility		$18.98	$30.45	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $30.45 / $4,071.00	Professional		$18.98	$30.45	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.56 / $17.62	Professional		$10.34	$13.56	$17.62