Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $64.95 / $175.95	Facility		$22.14	$64.95	$175.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.24 / $28.02	Professional		$13.71	$15.24	$28.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $21.09 / $102.71	Facility		$21.09	$21.09	$102.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $10.98	Professional		$8.44	$8.44	$10.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $70.15 / $105.00	Professional		$45.90	$70.15	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $39.92 / $95.00	Facility		$14.74	$39.92	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.65 / $24.37	Professional		$9.61	$12.65	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $26.36 / $31.21	Professional		$25.31	$26.36	$31.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $15.36 / $17.93	Facility		$13.29	$15.36	$17.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $23.43 / $38.00	Professional		$10.18	$23.43	$38.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $25.14 / $4,071.00	Facility		$15.40	$25.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $25.53 / $4,071.00	Professional		$14.76	$25.53	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $9.59 / $13.71	Professional		$8.86	$9.59	$13.71