Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $41.74 / $82.90	Facility		$20.77	$41.74	$82.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $18.25 / $20.77	Professional		$16.48	$18.25	$20.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $107.09	Facility		$21.99	$21.99	$107.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $13.30	Professional		$10.86	$10.86	$13.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $99.50 / $148.94	Professional		$65.11	$99.50	$148.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $57.30 / $112.41	Facility		$15.36	$57.30	$112.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.79 / $25.19	Professional		$12.46	$14.79	$25.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $27.49 / $32.54	Professional		$26.39	$27.49	$32.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $23.79 / $23.79	Facility		$18.43	$23.79	$23.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $36.00 / $54.00	Professional		$30.22	$36.00	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $29.30 / $4,071.00	Facility		$16.05	$29.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $29.30 / $4,071.00	Professional		$15.39	$29.30	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $11.00 / $21.99	Facility		$7.70	$11.00	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.97 / $18.89	Professional		$9.24	$12.97	$18.89