Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $196.04 / $629.91	Facility		$47.34	$196.04	$629.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.64 / $25.45	Professional		$19.55	$21.64	$25.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $126.96	Facility		$26.07	$26.07	$126.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $15.77	Professional		$10.43	$10.43	$15.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $87.61 / $131.13	Professional		$57.32	$87.61	$131.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $48.56 / $118.76	Facility		$18.22	$48.56	$118.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $15.64 / $37.69	Professional		$11.88	$15.64	$37.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.59 / $38.58	Professional		$31.28	$32.59	$38.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $18.98 / $22.16	Facility		$16.60	$18.98	$22.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $31.00 / $46.00	Professional		$26.60	$31.00	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $34.02 / $4,071.00	Facility		$19.03	$34.02	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $34.02 / $4,071.00	Professional		$19.03	$34.02	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $13.04 / $20.28	Professional		$10.95	$13.04	$20.28