Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $59.16 / $281.55	Facility		$23.57	$59.16	$281.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $21.71 / $23.57	Professional		$18.71	$21.71	$23.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $121.51	Facility		$24.95	$24.95	$121.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $15.09	Professional		$14.97	$14.97	$15.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $113.01 / $169.17	Professional		$73.95	$113.01	$169.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $63.71 / $127.47	Facility		$17.43	$63.71	$127.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $16.79 / $28.50	Professional		$14.14	$16.79	$28.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $31.19 / $36.93	Professional		$29.94	$31.19	$36.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $21.76 / $24.95	Facility		$20.93	$21.76	$24.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $37.74 / $63.00	Professional		$34.31	$37.74	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $34.18 / $4,071.00	Facility		$19.41	$34.18	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $33.26 / $4,071.00	Professional		$19.41	$33.26	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $29.94	Facility		$29.94	$29.94	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.97 / $34.88	Professional		$10.48	$14.97	$34.88