Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $56.06 / $107.96	Facility		$24.06	$56.06	$107.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.66 / $62.80	Professional		$18.84	$22.66	$62.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $124.09	Facility		$25.48	$25.48	$124.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $15.41	Professional		$12.58	$12.58	$15.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $115.34 / $172.66	Professional		$75.47	$115.34	$172.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $62.16 / $130.85	Facility		$17.80	$62.16	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $17.12 / $29.32	Professional		$14.44	$17.12	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $31.85 / $37.71	Professional		$30.58	$31.85	$37.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $23.10 / $24.06	Facility		$21.09	$23.10	$24.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $38.52 / $63.00	Professional		$30.05	$38.52	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $34.82 / $4,071.00	Facility		$19.82	$34.82	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $34.44 / $4,071.00	Professional		$19.82	$34.44	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $25.48	Professional		$10.70	$15.29	$25.48