Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $54.72 / $108.69	Facility		$27.23	$54.72	$108.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $26.14 / $27.23	Professional		$21.62	$26.14	$27.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $140.40	Facility		$28.83	$28.83	$140.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $14.24 / $17.44	Professional		$14.24	$14.24	$17.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $130.54 / $195.41	Professional		$85.41	$130.54	$195.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $74.53 / $147.59	Facility		$20.14	$74.53	$147.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.28 / $33.04	Professional		$16.34	$19.28	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $36.04 / $42.67	Professional		$34.60	$36.04	$42.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $26.15 / $27.23	Facility		$24.17	$26.15	$27.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $43.59 / $71.00	Professional		$32.97	$43.59	$71.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $38.40 / $4,071.00	Facility		$21.05	$38.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $38.40 / $4,071.00	Professional		$20.18	$38.40	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.01 / $24.17	Professional		$12.11	$17.01	$24.17