Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $50.48 / $135.04	Facility		$19.52	$50.48	$135.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $18.01 / $18.75	Professional		$15.50	$18.01	$18.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $100.66	Facility		$20.67	$20.67	$100.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $10.21 / $12.50	Professional		$10.21	$10.21	$12.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $93.60 / $140.12	Professional		$61.25	$93.60	$140.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $51.14 / $105.70	Facility		$14.44	$51.14	$105.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13.96 / $23.95	Professional		$11.71	$13.96	$23.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $25.84 / $30.59	Professional		$24.80	$25.84	$30.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $18.02 / $19.52	Facility		$17.32	$18.02	$19.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $30.26 / $49.00	Professional		$23.61	$30.26	$49.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $28.31 / $4,071.00	Facility		$16.07	$28.31	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.55 / $4,071.00	Professional		$16.07	$27.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.20 / $20.67	Professional		$8.68	$12.20	$20.67