Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $63.66 / $176.40	Facility		$22.21	$63.66	$176.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $14.81 / $26.19	Professional		$11.74	$14.81	$26.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $87.95	Facility		$18.05	$18.05	$87.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $10.92	Professional		$8.92	$8.92	$10.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $45.27 / $92.28	Facility		$12.62	$45.27	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.13 / $20.65	Professional		$10.23	$12.13	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $22.58 / $26.73	Professional		$21.67	$22.58	$26.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.37 / $17.05	Facility		$15.14	$16.37	$17.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $27.30 / $43.00	Professional		$12.76	$27.30	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $24.73 / $4,071.00	Facility		$14.04	$24.73	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $24.07 / $4,071.00	Professional		$14.04	$24.07	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.67 / $15.14	Professional		$7.59	$10.67	$15.14