Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $64.63 / $140.54	Facility		$27.65	$64.63	$140.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.51 / $27.65	Professional		$21.96	$25.51	$27.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $142.59	Facility		$29.28	$29.28	$142.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $17.71	Professional		$14.46	$14.46	$17.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $132.52 / $198.37	Professional		$86.71	$132.52	$198.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $74.94 / $149.28	Facility		$20.46	$74.94	$149.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $19.61 / $33.86	Professional		$16.59	$19.61	$33.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $36.60 / $43.33	Professional		$35.14	$36.60	$43.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $26.54 / $27.65	Facility		$24.54	$26.54	$27.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $44.26 / $72.00	Professional		$34.10	$44.26	$72.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $40.79 / $4,071.00	Facility		$21.37	$40.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $40.22 / $4,071.00	Professional		$21.37	$40.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.30 / $29.28	Professional		$12.30	$17.30	$29.28