Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $56.90 / $92.34	Facility		$22.49	$56.90	$92.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $23.98 / $25.48	Professional		$22.49	$23.98	$25.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $146.00	Facility		$29.98	$29.98	$146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $11.99	Professional		$11.99	$11.99	$11.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $11.63 / $17.41	Professional		$7.61	$11.63	$17.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $20.95 / $136.57	Facility		$6.26	$20.95	$136.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $15.29 / $34.69	Professional		$1.66	$15.29	$34.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $37.47 / $44.37	Professional		$35.97	$37.47	$44.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $21.84 / $25.48	Facility		$5.05	$21.84	$25.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.03 / $5.00	Professional		$3.53	$4.03	$5.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $34.86 / $4,071.00	Facility		$3.81	$34.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $34.86 / $4,071.00	Professional		$3.73	$34.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $17.98 / $29.98	Professional		$2.15	$17.98	$29.98