Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $47.26 / $79.48	Facility		$20.29	$47.26	$79.48
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 / $55.15 / $110.72	Facility		$15.01	$55.15	$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 / $19.48 / $20.29	Facility		$18.01	$19.48	$20.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $35.00 / $50.00	Professional		$29.53	$35.00	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $29.41 / $4,071.00	Facility		$16.71	$29.41	$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 Facility Modifier Low / Median / High Price $7.52 / $10.74 / $21.48	Facility		$7.52	$10.74	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.60 / $18.01	Professional		$9.02	$12.60	$18.01