Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $129.66 / $204.29	Facility		$34.64	$129.66	$204.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $24.27 / $25.66	Professional		$20.38	$24.27	$25.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $132.32	Facility		$27.17	$27.17	$132.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $16.43	Professional		$13.42	$13.42	$16.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $122.96 / $184.06	Professional		$80.45	$122.96	$184.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $70.37 / $139.25	Facility		$18.98	$70.37	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $18.28 / $31.39	Professional		$15.39	$18.28	$31.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $33.96 / $40.21	Professional		$32.60	$33.96	$40.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $24.64 / $25.66	Facility		$22.77	$24.64	$25.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $41.09 / $68.00	Professional		$21.72	$41.09	$68.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $39.42 / $4,071.00	Facility		$21.13	$39.42	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $38.22 / $4,071.00	Professional		$21.13	$38.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.03 / $22.77	Professional		$11.41	$16.03	$22.77