Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $83.99 / $136.29	Facility		$33.19	$83.99	$136.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $33.19 / $37.61	Professional		$22.13	$33.19	$37.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $44.25 / $215.50	Facility		$44.25	$44.25	$215.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $17.70 / $22.92	Professional		$17.70	$17.70	$22.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $57.67 / $86.33	Professional		$37.74	$57.67	$86.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $73.91 / $200.40	Facility		$29.08	$73.91	$200.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $26.55 / $65.70	Professional		$8.83	$26.55	$65.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.31 / $65.48	Professional		$53.10	$55.31	$65.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $32.22 / $39.83	Facility		$23.81	$32.22	$39.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $17.80 / $21.00	Professional		$13.72	$17.80	$21.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $49.56 / $4,071.00	Facility		$17.80	$49.56	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $49.56 / $4,071.00	Professional		$17.80	$49.56	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.59 / $26.55	Professional		$7.48	$18.59	$26.55