Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $123.58 / $235.55	Facility		$27.34	$123.58	$235.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $21.12	Professional		$15.56	$19.32	$21.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $108.26	Facility		$22.23	$22.23	$108.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $13.44	Professional		$10.98	$10.98	$13.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $100.67 / $150.69	Professional		$65.87	$100.67	$150.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $58.20 / $114.05	Facility		$15.54	$58.20	$114.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $14.96 / $25.61	Professional		$12.61	$14.96	$25.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $27.79 / $32.90	Professional		$26.68	$27.79	$32.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $19.39 / $21.00	Facility		$18.64	$19.39	$21.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $33.61 / $54.00	Professional		$27.96	$33.61	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $30.57 / $4,071.00	Facility		$17.30	$30.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $30.57 / $4,071.00	Professional		$17.30	$30.57	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.05 / $18.64	Professional		$9.34	$13.05	$18.64