Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $39.95 / $79.36	Facility		$17.89	$39.95	$79.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.47 / $17.89	Professional		$15.79	$17.47	$17.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $102.51	Facility		$21.05	$21.05	$102.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $12.73	Professional		$9.35	$9.35	$12.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $85.73 / $128.33	Professional		$56.10	$85.73	$128.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $49.52 / $100.01	Facility		$14.71	$49.52	$100.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $12.80 / $24.37	Professional		$10.74	$12.80	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $26.31 / $31.15	Professional		$25.26	$26.31	$31.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $22.78 / $22.78	Facility		$16.25	$22.78	$22.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $31.00 / $45.00	Professional		$26.03	$31.00	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $27.47 / $4,071.00	Facility		$15.37	$27.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $27.47 / $4,071.00	Professional		$14.74	$27.47	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.71 / $21.00	Professional		$8.84	$11.71	$21.00