Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $72.20 / $287.27	Facility		$27.89	$72.20	$287.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $26.37 / $27.89	Professional		$22.15	$26.37	$27.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $29.53 / $143.81	Facility		$29.53	$29.53	$143.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $17.86	Professional		$14.58	$14.58	$17.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $133.68 / $200.11	Professional		$87.47	$133.68	$200.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $76.06 / $150.97	Facility		$20.64	$76.06	$150.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.78 / $33.86	Professional		$16.73	$19.78	$33.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $36.90 / $43.70	Professional		$35.44	$36.90	$43.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $26.77 / $27.89	Facility		$24.76	$26.77	$27.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $44.66 / $73.00	Professional		$20.11	$44.66	$73.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $40.43 / $4,071.00	Facility		$22.97	$40.43	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $39.36 / $4,071.00	Professional		$22.97	$39.36	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.46 / $29.53	Professional		$12.40	$17.46	$29.53