Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $149.99 / $296.27	Facility		$28.90	$149.99	$296.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.89 / $25.49	Professional		$14.33	$16.89	$25.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $94.38	Facility		$19.38	$19.38	$94.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $11.72	Professional		$9.57	$9.57	$11.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $87.74 / $131.34	Professional		$57.41	$87.74	$131.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $51.32 / $98.99	Facility		$13.55	$51.32	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.96 / $22.30	Professional		$10.98	$12.96	$22.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $24.23 / $28.68	Professional		$23.26	$24.23	$28.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.89 / $18.30	Facility		$16.25	$16.89	$18.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $29.30 / $46.00	Professional		$16.69	$29.30	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $27.08 / $4,071.00	Facility		$15.07	$27.08	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $27.08 / $4,071.00	Professional		$15.07	$27.08	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.43 / $15.98	Professional		$8.14	$11.43	$15.98