Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $64.52 / $572.72	Facility		$24.72	$64.52	$572.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $23.85 / $24.72	Professional		$21.81	$23.85	$24.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $141.62	Facility		$29.08	$29.08	$141.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $17.59	Professional		$12.37	$12.37	$17.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $113.43 / $169.80	Professional		$74.22	$113.43	$169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $64.04 / $132.12	Facility		$20.32	$64.04	$132.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $17.69 / $33.45	Professional		$14.81	$17.69	$33.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $36.35 / $43.04	Professional		$34.90	$36.35	$43.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $22.72 / $24.72	Facility		$21.51	$22.72	$24.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $34.45 / $63.00	Professional		$26.43	$34.45	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $37.90 / $4,071.00	Facility		$21.23	$37.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $37.19 / $4,071.00	Professional		$20.36	$37.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.37 / $21.01	Professional		$12.21	$15.37	$21.01