Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $60.97 / $283.68	Facility		$25.30	$60.97	$283.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.92 / $25.30	Professional		$17.41	$23.92	$25.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $130.47	Facility		$26.79	$26.79	$130.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $16.20	Professional		$13.23	$13.23	$16.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $121.21 / $181.44	Professional		$79.31	$121.21	$181.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $69.14 / $137.56	Facility		$18.72	$69.14	$137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $17.95 / $30.98	Professional		$15.18	$17.95	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $33.49 / $39.65	Professional		$32.15	$33.49	$39.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $24.28 / $25.30	Facility		$22.45	$24.28	$25.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $40.50 / $67.00	Professional		$36.19	$40.50	$67.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $37.40 / $4,071.00	Facility		$19.55	$37.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $36.79 / $4,071.00	Professional		$19.55	$36.79	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $22.45	Professional		$11.25	$16.07	$22.45