Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $99.52 / $301.08	Facility		$26.60	$99.52	$301.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.05 / $24.37	Professional		$14.60	$18.05	$24.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $101.59	Facility		$20.86	$20.86	$101.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $12.62	Professional		$10.30	$10.30	$12.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $94.45 / $141.38	Professional		$61.80	$94.45	$141.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $54.61 / $107.34	Facility		$14.58	$54.61	$107.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $13.96 / $23.95	Professional		$11.82	$13.96	$23.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $26.08 / $30.87	Professional		$25.03	$26.08	$30.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.19 / $20.86	Facility		$17.14	$18.19	$20.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $28.68 / $42.00	Professional		$25.74	$28.68	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $27.79 / $4,071.00	Facility		$16.23	$27.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $27.37 / $4,071.00	Professional		$16.23	$27.37	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.31 / $21.86	Professional		$8.76	$12.31	$21.86