Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $64.27 / $118.38	Facility		$28.78	$64.27	$118.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.77 / $28.78	Professional		$25.40	$27.77	$28.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $164.90	Facility		$33.86	$33.86	$164.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $20.48	Professional		$13.54	$13.54	$20.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $103.55 / $155.01	Professional		$67.75	$103.55	$155.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $71.93 / $152.90	Facility		$23.66	$71.93	$152.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $20.54 / $49.04	Professional		$15.43	$20.54	$49.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $42.33 / $50.11	Professional		$40.63	$42.33	$50.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $24.66 / $30.47	Facility		$21.29	$24.66	$30.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $37.53 / $63.00	Professional		$14.20	$37.53	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $40.20 / $4,071.00	Facility		$23.70	$40.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $40.20 / $4,071.00	Professional		$23.70	$40.20	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.93 / $23.65	Professional		$13.24	$16.93	$23.65