Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $80.39 / $207.36	Facility		$30.80	$80.39	$207.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $26.10 / $35.28	Professional		$17.29	$26.10	$35.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $158.86	Facility		$32.61	$32.61	$158.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $19.73	Professional		$16.11	$16.11	$19.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $147.61 / $220.97	Professional		$96.59	$147.61	$220.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $85.43 / $167.72	Facility		$22.79	$85.43	$167.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $31.14 / $46.98	Professional		$18.48	$31.14	$46.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $40.78 / $48.28	Professional		$39.14	$40.78	$48.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $35.29 / $35.29	Facility		$26.60	$35.29	$35.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $60.00 / $79.00	Professional		$44.82	$60.00	$79.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $43.46 / $4,071.00	Facility		$25.37	$43.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $43.46 / $4,071.00	Professional		$25.37	$43.46	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $66.75	Facility		$32.61	$32.61	$66.75
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.25 / $26.89	Professional		$13.70	$19.25	$26.89