Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $45.11 / $80.98	Facility		$20.29	$45.11	$80.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $17.82 / $20.29	Professional		$16.11	$17.82	$20.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $104.61	Facility		$21.48	$21.48	$104.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $12.99	Professional		$10.61	$10.61	$12.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $97.23 / $145.55	Professional		$63.62	$97.23	$145.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $53.45 / $110.72	Facility		$15.01	$53.45	$110.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.46 / $24.37	Professional		$12.17	$14.46	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $26.85 / $31.79	Professional		$25.78	$26.85	$31.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $23.24 / $23.24	Facility		$18.01	$23.24	$23.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $32.47 / $50.00	Professional		$10.46	$32.47	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $29.07 / $4,071.00	Facility		$16.71	$29.07	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $28.63 / $4,071.00	Professional		$16.71	$28.63	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.89 / $21.48	Professional		$9.02	$12.89	$21.48