Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $53.92 / $90.67	Facility		$18.38	$53.92	$90.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $21.36 / $23.15	Professional		$18.38	$21.36	$23.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $24.51 / $119.36	Facility		$24.51	$24.51	$119.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $14.82	Professional		$12.10	$12.10	$14.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $110.91 / $166.02	Professional		$72.56	$110.91	$166.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $60.36 / $125.83	Facility		$17.13	$60.36	$125.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $16.45 / $28.08	Professional		$13.89	$16.45	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $30.64 / $36.27	Professional		$29.41	$30.64	$36.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $22.21 / $23.15	Facility		$20.54	$22.21	$23.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $37.04 / $62.00	Professional		$12.07	$37.04	$62.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.54 / $4,071.00	Facility		$19.05	$33.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.67 / $4,071.00	Professional		$19.05	$32.67	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.71 / $20.54	Professional		$10.29	$14.71	$20.54