Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $82.55 / $130.90	Facility		$33.40	$82.55	$130.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $33.40 / $39.31	Professional		$29.48	$33.40	$39.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $193.21	Facility		$39.31	$39.31	$193.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $25.55	Professional		$15.72	$15.72	$25.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $76.65 / $205.39	Professional		$39.31	$76.65	$205.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $73.17 / $178.13	Facility		$25.55	$73.17	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $23.86 / $64.88	Professional		$19.37	$23.86	$64.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $47.17 / $58.18	Professional		$39.31	$47.17	$58.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $52.68 / $110.53	Facility		$33.40	$52.68	$110.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $55.00 / $94.34	Professional		$39.31	$55.00	$94.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $47.25 / $9,929.00	Facility		$32.22	$47.25	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $47.25 / $9,929.00	Professional		$32.22	$47.25	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $19.66 / $45.21	Professional		$16.51	$19.66	$45.21