Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $150.53 / $279.42	Facility		$34.56	$150.53	$279.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $26.54	Professional		$18.27	$25.09	$26.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $136.85	Facility		$28.10	$28.10	$136.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $17.00	Professional		$13.88	$13.88	$17.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $127.17 / $190.36	Professional		$83.21	$127.17	$190.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $69.69 / $144.26	Facility		$19.64	$69.69	$144.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.95 / $32.21	Professional		$15.92	$18.95	$32.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $35.13 / $41.59	Professional		$33.72	$35.13	$41.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $25.47 / $26.54	Facility		$23.55	$25.47	$26.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $45.28 / $69.00	Professional		$38.61	$45.28	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $38.60 / $4,071.00	Facility		$21.85	$38.60	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $38.36 / $4,071.00	Professional		$21.85	$38.36	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.48 / $23.17	Professional		$11.80	$16.48	$23.17