Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $64.42 / $123.33	Facility		$27.65	$64.42	$123.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.51 / $27.52	Professional		$21.96	$25.51	$27.52
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 $13.01 / $13.01 / $17.71	Professional		$13.01	$13.01	$17.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $105.40 / $157.77	Professional		$68.95	$105.40	$157.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $54.71 / $149.28	Facility		$19.25	$54.71	$149.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $19.46 / $43.63	Professional		$14.96	$19.46	$43.63
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 $26.35 / $26.54 / $29.28	Facility		$26.35	$26.54	$29.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $29.28 / $61.49	Professional		$21.14	$29.28	$61.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $35.44 / $4,071.00	Facility		$22.77	$35.44	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $35.44 / $4,071.00	Professional		$22.77	$35.44	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.64 / $29.28	Professional		$12.30	$14.64	$29.28