Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $51.04 / $82.82	Facility		$22.86	$51.04	$82.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $22.32 / $22.86	Professional		$20.17	$22.32	$22.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $26.89 / $130.94	Facility		$26.89	$26.89	$130.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $16.26	Professional		$10.76	$10.76	$16.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $77.81 / $116.50	Professional		$50.92	$77.81	$116.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $49.82 / $121.73	Facility		$18.79	$49.82	$121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.27 / $30.98	Professional		$11.38	$14.27	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $33.61 / $39.79	Professional		$32.27	$33.61	$39.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $19.57 / $22.86	Facility		$14.76	$19.57	$22.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $32.00 / $41.00	Professional		$23.64	$32.00	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $31.27 / $4,071.00	Facility		$19.63	$31.27	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $31.93 / $4,071.00	Professional		$18.82	$31.93	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $13.45 / $24.02	Professional		$10.09	$13.45	$24.02