Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $52.60 / $149.36	Facility		$22.69	$52.60	$149.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $20.02 / $22.69	Professional		$19.29	$20.02	$22.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $129.97	Facility		$26.69	$26.69	$129.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $16.14	Professional		$10.68	$10.68	$16.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $45.52 / $68.14	Professional		$29.79	$45.52	$68.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $49.82 / $121.73	Facility		$18.64	$49.82	$121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $14.70 / $30.98	Professional		$11.72	$14.70	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $33.36 / $39.50	Professional		$32.03	$33.36	$39.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $19.44 / $22.69	Facility		$15.28	$19.44	$22.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $26.94 / $43.00	Professional		$16.09	$26.94	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $31.04 / $4,071.00	Facility		$18.68	$31.04	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $31.69 / $4,071.00	Professional		$18.68	$31.69	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $12.01 / $17.35	Professional		$5.90	$12.01	$17.35