Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $57.33 / $89.47	Facility		$22.84	$57.33	$89.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.61 / $22.84	Professional		$18.14	$21.61	$22.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $24.18 / $117.76	Facility		$24.18	$24.18	$117.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $14.62	Professional		$11.94	$11.94	$14.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $109.48 / $163.88	Professional		$71.63	$109.48	$163.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $62.32 / $124.14	Facility		$16.89	$62.32	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $16.29 / $28.08	Professional		$13.70	$16.29	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $30.23 / $35.79	Professional		$29.02	$30.23	$35.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $21.93 / $22.84	Facility		$20.27	$21.93	$22.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $36.00 / $61.00	Professional		$31.37	$36.00	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $33.79 / $4,071.00	Facility		$18.73	$33.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $33.21 / $4,071.00	Professional		$18.73	$33.21	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $24.18 / $41.57	Facility		$16.12	$24.18	$41.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $25.34	Professional		$10.16	$14.51	$25.34