Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $49.17 / $611.38	Facility		$18.84	$49.17	$611.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $18.84 / $32.50	Professional		$16.03	$18.84	$32.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $107.97	Facility		$22.17	$22.17	$107.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $13.41	Professional		$8.92	$8.92	$13.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $45.27 / $100.94	Facility		$15.50	$45.27	$100.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $13.37 / $25.61	Professional		$10.67	$13.37	$25.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $27.71 / $32.81	Professional		$26.60	$27.71	$32.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $16.14 / $18.84	Facility		$15.51	$16.14	$18.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $27.30 / $194.56	Professional		$11.19	$27.30	$194.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $27.30 / $4,071.00	Facility		$16.18	$27.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $27.30 / $4,071.00	Professional		$15.52	$27.30	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $11.09 / $15.14	Professional		$9.31	$11.09	$15.14