Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $46.12 / $91.61	Facility		$22.96	$46.12	$91.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.17 / $22.96	Professional		$18.23	$20.17	$22.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $118.34	Facility		$24.30	$24.30	$118.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $14.70	Professional		$12.00	$12.00	$14.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $110.03 / $164.71	Professional		$72.00	$110.03	$164.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $63.39 / $124.14	Facility		$16.98	$63.39	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $16.29 / $28.08	Professional		$13.78	$16.29	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $30.38 / $35.96	Professional		$29.16	$30.38	$35.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $26.29 / $26.29	Facility		$20.38	$26.29	$26.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $36.76 / $61.00	Professional		$28.16	$36.76	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $33.28 / $4,071.00	Facility		$18.91	$33.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $32.39 / $4,071.00	Professional		$18.91	$32.39	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.26 / $25.47	Professional		$10.21	$14.26	$25.47