Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $49.48 / $107.57	Facility		$19.05	$49.48	$107.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.53 / $19.05	Professional		$16.80	$17.53	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $22.41 / $109.14	Facility		$22.41	$22.41	$109.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $13.55	Professional		$9.56	$9.56	$13.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $87.61 / $131.13	Professional		$57.32	$87.61	$131.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $46.27 / $102.78	Facility		$15.66	$46.27	$102.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.58 / $25.61	Professional		$11.43	$13.58	$25.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $28.01 / $33.17	Professional		$26.89	$28.01	$33.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.54 / $19.05	Facility		$16.60	$17.54	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $29.26 / $46.00	Professional		$20.11	$29.26	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $29.25 / $4,071.00	Facility		$16.36	$29.25	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $29.25 / $4,071.00	Professional		$15.69	$29.25	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.87 / $15.96	Professional		$9.41	$11.87	$15.96