Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $69.90 / $197.95	Facility		$23.28	$69.90	$197.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $20.54 / $23.28	Professional		$19.17	$20.54	$23.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $27.39 / $133.38	Facility		$27.39	$27.39	$133.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.57	Professional		$10.96	$10.96	$16.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $91.01 / $136.24	Professional		$59.55	$91.01	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $52.83 / $124.69	Facility		$19.14	$52.83	$124.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $16.43 / $31.80	Professional		$12.48	$16.43	$31.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $34.24 / $40.54	Professional		$32.86	$34.24	$40.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $19.95 / $23.28	Facility		$17.25	$19.95	$23.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $33.00 / $48.00	Professional		$27.64	$33.00	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $35.74 / $4,071.00	Facility		$19.98	$35.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $35.74 / $4,071.00	Professional		$19.98	$35.74	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $13.70 / $21.07	Professional		$11.50	$13.70	$21.07