Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $62.83 / $110.93	Facility		$28.19	$62.83	$110.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.07 / $28.19	Professional		$22.39	$27.07	$28.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $29.85 / $145.37	Facility		$29.85	$29.85	$145.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $18.05	Professional		$14.74	$14.74	$18.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $135.13 / $202.29	Professional		$88.43	$135.13	$202.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $74.97 / $152.66	Facility		$20.86	$74.97	$152.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $20.11 / $34.28	Professional		$16.92	$20.11	$34.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $37.31 / $44.18	Professional		$35.82	$37.31	$44.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $27.07 / $28.19	Facility		$24.77	$27.07	$28.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $41.00 / $64.00	Professional		$34.08	$41.00	$64.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $38.95 / $4,071.00	Facility		$21.79	$38.95	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $38.64 / $4,071.00	Professional		$20.90	$38.64	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.61 / $29.85	Professional		$12.54	$17.61	$29.85