Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $42.99 / $85.39	Facility		$21.39	$42.99	$85.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.80 / $21.39	Professional		$16.98	$18.80	$21.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $110.31	Facility		$22.65	$22.65	$110.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $13.70	Professional		$11.18	$11.18	$13.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $102.55 / $153.50	Professional		$67.09	$102.55	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $58.67 / $115.74	Facility		$15.83	$58.67	$115.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $15.12 / $26.02	Professional		$12.84	$15.12	$26.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $28.31 / $33.52	Professional		$27.18	$28.31	$33.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $20.53 / $21.39	Facility		$18.98	$20.53	$21.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $37.00 / $56.00	Professional		$31.13	$37.00	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $31.02 / $4,071.00	Facility		$17.62	$31.02	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $30.19 / $4,071.00	Professional		$17.62	$30.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.59 / $22.65	Professional		$9.51	$13.59	$22.65