Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $49.56 / $83.02	Facility		$20.05	$49.56	$83.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $17.70 / $20.05	Professional		$15.34	$17.70	$20.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $23.60 / $114.93	Facility		$23.60	$23.60	$114.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $14.27	Professional		$9.44	$9.44	$14.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $74.52 / $111.55	Professional		$48.76	$74.52	$111.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $44.14 / $106.88	Facility		$16.50	$44.14	$106.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.62 / $27.26	Professional		$10.75	$13.62	$27.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $29.50 / $34.93	Professional		$28.32	$29.50	$34.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $17.19 / $20.05	Facility		$14.14	$17.19	$20.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $27.00 / $40.00	Professional		$22.62	$27.00	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $30.80 / $4,071.00	Facility		$17.23	$30.80	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $30.80 / $4,071.00	Professional		$17.23	$30.80	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.80 / $23.00	Professional		$9.66	$11.80	$23.00