Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $42.74 / $83.31	Facility		$21.27	$42.74	$83.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.69 / $21.27	Professional		$16.89	$18.69	$21.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $109.67	Facility		$22.52	$22.52	$109.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $13.62	Professional		$11.12	$11.12	$13.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $101.90 / $152.53	Professional		$66.67	$101.90	$152.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $57.78 / $115.74	Facility		$15.74	$57.78	$115.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.12 / $26.02	Professional		$12.76	$15.12	$26.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $28.15 / $33.33	Professional		$27.02	$28.15	$33.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $20.41 / $21.27	Facility		$18.87	$20.41	$21.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $34.04 / $56.00	Professional		$30.95	$34.04	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $30.82 / $4,071.00	Facility		$17.51	$30.82	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $30.02 / $4,071.00	Professional		$17.51	$30.02	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.31 / $22.52	Professional		$9.46	$13.31	$22.52