Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $48.97 / $97.27	Facility		$24.37	$48.97	$97.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $21.41 / $24.37	Professional		$19.35	$21.41	$24.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $125.65	Facility		$25.80	$25.80	$125.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $15.60	Professional		$12.74	$12.74	$15.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $116.80 / $174.84	Professional		$76.43	$116.80	$174.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $62.64 / $132.54	Facility		$18.03	$62.64	$132.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.29 / $29.74	Professional		$14.62	$17.29	$29.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $32.25 / $38.18	Professional		$30.96	$32.25	$38.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $23.39 / $24.37	Facility		$21.63	$23.39	$24.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $39.01 / $65.00	Professional		$12.06	$39.01	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $34.38 / $4,071.00	Facility		$20.07	$34.38	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $34.38 / $4,071.00	Professional		$20.07	$34.38	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.25 / $25.80	Professional		$10.84	$15.25	$25.80