Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $56.22 / $196.52	Facility		$21.54	$56.22	$196.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $20.54 / $21.54	Professional		$17.11	$20.54	$21.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $111.08	Facility		$22.81	$22.81	$111.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $13.80	Professional		$11.26	$11.26	$13.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $103.32 / $154.66	Professional		$67.61	$103.32	$154.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $55.76 / $117.43	Facility		$15.93	$55.76	$117.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $15.29 / $26.43	Professional		$12.92	$15.29	$26.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $28.51 / $33.76	Professional		$27.37	$28.51	$33.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $20.69 / $21.54	Facility		$19.13	$20.69	$21.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $37.00 / $56.00	Professional		$31.37	$37.00	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $31.33 / $4,071.00	Facility		$17.73	$31.33	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $31.14 / $4,071.00	Professional		$17.73	$31.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.46 / $22.81	Professional		$9.58	$13.46	$22.81