Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $48.49 / $238.24	Facility		$20.75	$48.49	$238.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $19.77 / $39.24	Professional		$16.47	$19.77	$39.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $21.96 / $106.95	Facility		$21.96	$21.96	$106.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $13.28	Professional		$10.85	$10.85	$13.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $99.40 / $148.80	Professional		$65.04	$99.40	$148.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $53.61 / $112.41	Facility		$15.34	$53.61	$112.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $16.89 / $32.34	Professional		$12.45	$16.89	$32.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $27.45 / $32.50	Professional		$26.35	$27.45	$32.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $19.91 / $20.75	Facility		$18.22	$19.91	$20.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $33.21 / $48.26	Professional		$23.00	$33.21	$48.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $26.58 / $4,071.00	Facility		$16.32	$26.58	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $26.68 / $4,071.00	Professional		$16.32	$26.68	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.89 / $21.96	Professional		$9.22	$12.89	$21.96