Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $88.29 / $192.56	Facility		$35.50	$88.29	$192.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $31.33 / $35.50	Professional		$22.25	$31.33	$35.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $203.42	Facility		$41.77	$41.77	$203.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $24.58	Professional		$16.71	$16.71	$24.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $113.01 / $169.17	Professional		$73.95	$113.01	$169.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $77.56 / $190.01	Facility		$29.19	$77.56	$190.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.30 / $47.91	Professional		$16.48	$21.30	$47.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.21 / $61.82	Professional		$50.12	$52.21	$61.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $30.42 / $35.50	Facility		$21.43	$30.42	$35.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $34.31 / $48.00	Professional		$32.17	$34.31	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $49.59 / $4,071.00	Facility		$29.24	$49.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $50.56 / $4,071.00	Professional		$28.63	$50.56	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $18.80 / $27.15	Professional		$14.65	$18.80	$27.15