Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $138.19 / $357.84	Facility		$28.41	$138.19	$357.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.01 / $23.85	Professional		$18.94	$22.01	$23.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $122.97	Facility		$25.25	$25.25	$122.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $15.27	Professional		$12.47	$12.47	$15.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $114.31 / $171.11	Professional		$74.79	$114.31	$171.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $64.69 / $129.16	Facility		$17.64	$64.69	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.95 / $28.91	Professional		$14.31	$16.95	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $31.56 / $37.36	Professional		$30.30	$31.56	$37.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $22.02 / $23.85	Facility		$21.17	$22.02	$23.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $38.18 / $63.00	Professional		$27.87	$38.18	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $35.28 / $4,071.00	Facility		$19.64	$35.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $34.68 / $4,071.00	Professional		$19.64	$34.68	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $51.68	Facility		$25.25	$25.25	$51.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.15 / $25.25	Professional		$10.61	$15.15	$25.25