Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $54.09 / $94.90	Facility		$24.23	$54.09	$94.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.80 / $24.23	Professional		$21.38	$22.80	$24.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $138.80	Facility		$28.50	$28.50	$138.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $11.40 / $17.07	Professional		$11.40	$11.40	$17.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $90.14 / $134.93	Professional		$58.98	$90.14	$134.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $52.98 / $129.15	Facility		$19.91	$52.98	$129.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $16.43 / $32.63	Professional		$12.99	$16.43	$32.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $35.63 / $42.18	Professional		$34.20	$35.63	$42.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $20.76 / $24.23	Facility		$17.09	$20.76	$24.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $30.11 / $47.00	Professional		$27.37	$30.11	$47.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $33.84 / $4,071.00	Facility		$20.81	$33.84	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $34.50 / $4,071.00	Professional		$20.81	$34.50	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $12.83 / $18.53	Professional		$11.68	$12.83	$18.53