Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $97.97 / $340.37	Facility		$30.51	$97.97	$340.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $27.07 / $30.51	Professional		$24.23	$27.07	$30.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $32.29 / $157.30	Facility		$32.29	$32.29	$157.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $19.54	Professional		$15.95	$15.95	$19.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $146.22 / $218.88	Professional		$95.68	$146.22	$218.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $82.41 / $166.08	Facility		$22.57	$82.41	$166.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $21.61 / $37.17	Professional		$18.30	$21.61	$37.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $40.38 / $47.80	Professional		$38.76	$40.38	$47.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $28.16 / $30.51	Facility		$27.08	$28.16	$30.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $52.00 / $78.00	Professional		$44.40	$52.00	$78.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $44.23 / $4,071.00	Facility		$25.12	$44.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.06 / $4,071.00	Professional		$25.12	$43.06	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $32.29	Professional		$13.57	$19.38	$32.29