Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $57.53 / $198.90	Facility		$23.87	$57.53	$198.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $22.47 / $22.91	Professional		$18.95	$22.47	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $123.06	Facility		$25.27	$25.27	$123.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.08	Professional		$12.48	$12.48	$13.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $114.40 / $171.25	Professional		$74.86	$114.40	$171.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $64.29 / $129.16	Facility		$17.66	$64.29	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.95 / $28.91	Professional		$14.32	$16.95	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $31.59 / $37.40	Professional		$30.32	$31.59	$37.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $22.91 / $23.87	Facility		$20.92	$22.91	$23.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $34.74 / $46.00	Professional		$13.00	$34.74	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $30.70 / $4,071.00	Facility		$9.73	$30.70	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $31.59 / $4,071.00	Professional		$12.64	$31.59	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.91 / $20.63	Professional		$10.61	$14.91	$20.63