Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $73.20 / $118.80	Facility		$32.78	$73.20	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $28.93 / $32.78	Professional		$20.44	$28.93	$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 $25.35 / $72.06 / $197.93	Facility		$25.35	$72.06	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.45 / $57.45	Professional		$16.07	$23.45	$57.45
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 $28.09 / $28.09 / $32.78	Facility		$28.09	$28.09	$32.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $81.00	Professional		$30.86	$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 $13.50 / $19.29 / $38.57	Facility		$13.50	$19.29	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.36 / $25.07	Professional		$16.20	$17.36	$25.07