Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $61.14 / $122.40	Facility		$29.80	$61.14	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $28.39 / $29.80	Professional		$25.64	$28.39	$29.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $166.51	Facility		$34.19	$34.19	$166.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $20.68	Professional		$15.58	$15.58	$20.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $144.80 / $216.75	Professional		$94.74	$144.80	$216.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $77.40 / $166.70	Facility		$23.89	$77.40	$166.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $24.26 / $49.04	Professional		$17.75	$24.26	$49.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $42.74 / $50.60	Professional		$41.03	$42.74	$50.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $28.60 / $30.77	Facility		$27.07	$28.60	$30.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $47.70 / $77.00	Professional		$25.32	$47.70	$77.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $44.40 / $4,071.00	Facility		$24.54	$44.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $44.40 / $4,071.00	Professional		$24.54	$44.40	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $19.48 / $28.35	Professional		$14.36	$19.48	$28.35