Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $48.26 / $82.27	Facility		$19.53	$48.26	$82.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $17.23 / $19.53	Professional		$15.26	$17.23	$19.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $111.91	Facility		$22.98	$22.98	$111.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $13.90	Professional		$9.19	$9.19	$13.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $76.37 / $114.31	Professional		$49.97	$76.37	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $44.65 / $103.91	Facility		$16.05	$44.65	$103.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.79 / $26.43	Professional		$10.47	$13.79	$26.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $28.73 / $34.01	Professional		$27.58	$28.73	$34.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $16.73 / $19.53	Facility		$14.48	$16.73	$19.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $27.00 / $104.56	Professional		$23.18	$27.00	$104.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $29.99 / $4,071.00	Facility		$16.78	$29.99	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $29.99 / $4,071.00	Professional		$16.78	$29.99	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $11.95 / $21.00	Professional		$9.65	$11.95	$21.00