Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $53.48 / $207.10	Facility		$20.49	$53.48	$207.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $16.37 / $21.08	Professional		$15.73	$16.37	$21.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.11 / $117.42	Facility		$24.11	$24.11	$117.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $14.58	Professional		$9.64	$9.64	$14.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $45.27 / $109.85	Facility		$16.85	$45.27	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $14.47 / $28.08	Professional		$10.98	$14.47	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $30.14 / $35.68	Professional		$28.93	$30.14	$35.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $17.55 / $20.49	Facility		$15.51	$17.55	$20.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $29.00 / $58.93	Professional		$24.82	$29.00	$58.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $29.18 / $4,071.00	Facility		$17.60	$29.18	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $29.18 / $4,071.00	Professional		$16.88	$29.18	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.06 / $24.11	Professional		$10.13	$12.06	$24.11