Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $139.08 / $273.58	Facility		$32.29	$139.08	$273.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.59 / $22.30	Professional		$13.01	$16.59	$22.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $90.48	Facility		$18.57	$18.57	$90.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $11.24	Professional		$11.15	$11.15	$11.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $84.14 / $125.95	Professional		$55.06	$84.14	$125.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $48.89 / $95.61	Facility		$12.99	$48.89	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.35 / $27.51	Professional		$10.53	$15.35	$27.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $23.23 / $27.50	Professional		$22.30	$23.23	$27.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $16.84 / $22.72	Facility		$15.58	$16.84	$22.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $28.09 / $44.00	Professional		$14.00	$28.09	$44.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $26.15 / $4,071.00	Facility		$14.46	$26.15	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $26.15 / $4,071.00	Professional		$14.46	$26.15	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.96 / $18.57	Professional		$7.80	$10.96	$18.57