Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $76.90 / $121.94	Facility		$31.13	$76.90	$121.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $32.50 / $39.31	Professional		$27.47	$32.50	$39.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $179.99	Facility		$36.61	$36.61	$179.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $14.65 / $23.80	Professional		$14.65	$14.65	$23.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $78.55 / $356.66	Professional		$40.28	$78.55	$356.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $68.42 / $166.26	Facility		$23.80	$68.42	$166.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $22.22 / $60.41	Professional		$18.05	$22.22	$60.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $43.94 / $54.20	Professional		$36.61	$43.94	$54.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $49.07 / $164.37	Facility		$31.13	$49.07	$164.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $51.00 / $87.89	Professional		$36.61	$51.00	$87.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $44.02 / $9,929.00	Facility		$30.03	$44.02	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $44.02 / $9,929.00	Professional		$30.03	$44.02	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $36.61 / $43.94	Facility		$21.97	$36.61	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $19.04 / $42.11	Professional		$15.38	$19.04	$42.11