Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $99.52 / $338.38	Facility		$26.26	$99.52	$338.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $24.85 / $27.80	Professional		$23.07	$24.85	$27.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $135.38	Facility		$27.80	$27.80	$135.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $16.80	Professional		$13.73	$13.73	$16.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $125.87 / $188.42	Professional		$82.36	$125.87	$188.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $69.92 / $142.57	Facility		$19.42	$69.92	$142.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $18.61 / $31.80	Professional		$15.75	$18.61	$31.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $34.75 / $41.14	Professional		$33.36	$34.75	$41.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $25.22 / $26.26	Facility		$23.31	$25.22	$26.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $42.04 / $69.00	Professional		$31.85	$42.04	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $38.85 / $4,071.00	Facility		$20.29	$38.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $38.18 / $4,071.00	Professional		$20.29	$38.18	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.32 / $25.20	Professional		$11.68	$16.32	$25.20