Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $41.63 / $226.08	Facility		$15.95	$41.63	$226.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.08 / $16.89	Professional		$12.05	$14.08	$16.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $91.41	Facility		$18.77	$18.77	$91.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $11.35	Professional		$7.51	$7.51	$11.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $60.26 / $90.21	Professional		$39.43	$60.26	$90.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $34.69 / $84.61	Facility		$13.12	$34.69	$84.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $11.03 / $21.48	Professional		$8.55	$11.03	$21.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $23.46 / $27.78	Professional		$22.52	$23.46	$27.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $13.67 / $15.95	Facility		$11.43	$13.67	$15.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $22.00 / $33.00	Professional		$18.30	$22.00	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $22.17 / $4,071.00	Facility		$13.70	$22.17	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $22.29 / $4,071.00	Professional		$13.14	$22.29	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.39 / $15.75	Professional		$7.81	$9.39	$15.75