Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $50.58 / $95.41	Facility		$23.23	$50.58	$95.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $21.85 / $23.23	Professional		$19.98	$21.85	$23.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $129.79	Facility		$26.65	$26.65	$129.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $16.12	Professional		$12.15	$12.15	$16.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $95.61 / $143.12	Professional		$62.56	$95.61	$143.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $59.91 / $130.58	Facility		$18.63	$59.91	$130.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $16.45 / $30.56	Professional		$13.94	$16.45	$30.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $33.31 / $39.44	Professional		$31.98	$33.31	$39.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $22.30 / $23.79	Facility		$21.10	$22.30	$23.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $37.18 / $62.00	Professional		$16.80	$37.18	$62.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $34.97 / $4,071.00	Facility		$19.45	$34.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $34.78 / $4,071.00	Professional		$19.13	$34.78	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $13.33 / $22.13	Professional		$11.19	$13.33	$22.13