Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $97.58 / $296.72	Facility		$23.20	$97.58	$296.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.48 / $34.61	Professional		$11.29	$12.48	$34.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $84.10	Facility		$17.27	$17.27	$84.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $9.17	Professional		$6.91	$6.91	$9.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $58.61 / $87.74	Professional		$38.35	$58.61	$87.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $34.29 / $78.68	Facility		$12.07	$34.29	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $10.36 / $19.82	Professional		$7.87	$10.36	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $21.59 / $25.56	Professional		$20.72	$21.59	$25.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $12.58 / $17.27	Facility		$11.11	$12.58	$17.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.00 / $39.29	Professional		$17.80	$21.00	$39.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $21.00 / $304.58	Facility		$12.61	$21.00	$304.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $22.15 / $4,071.00	Professional		$12.61	$22.15	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.64 / $13.57	Professional		$7.25	$8.64	$13.57