Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $49.80 / $98.92	Facility		$22.30	$49.80	$98.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $21.78 / $22.30	Professional		$19.68	$21.78	$22.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $127.79	Facility		$26.24	$26.24	$127.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $15.87	Professional		$11.65	$11.65	$15.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $106.76 / $159.81	Professional		$69.84	$106.76	$159.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $61.10 / $125.04	Facility		$18.32	$61.10	$125.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.84 / $30.15	Professional		$13.38	$15.84	$30.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $32.79 / $38.84	Professional		$31.49	$32.79	$38.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $28.39 / $28.39	Facility		$20.23	$28.39	$28.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $35.65 / $60.00	Professional		$16.09	$35.65	$60.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $34.24 / $4,071.00	Facility		$19.16	$34.24	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $34.24 / $4,071.00	Professional		$18.37	$34.24	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $14.59 / $26.24	Professional		$11.02	$14.59	$26.24