Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $121.36 / $285.31	Facility		$28.03	$121.36	$285.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.17 / $20.77	Professional		$16.48	$19.17	$20.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $107.09	Facility		$21.99	$21.99	$107.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $13.30	Professional		$10.86	$10.86	$13.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $99.57 / $149.04	Professional		$65.15	$99.57	$149.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $57.93 / $112.41	Facility		$15.36	$57.93	$112.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.79 / $25.19	Professional		$12.46	$14.79	$25.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $27.49 / $32.54	Professional		$26.39	$27.49	$32.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $19.18 / $20.77	Facility		$18.44	$19.18	$20.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $33.26 / $54.00	Professional		$17.53	$33.26	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $30.20 / $4,071.00	Facility		$17.11	$30.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $30.12 / $4,071.00	Professional		$17.11	$30.12	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.97 / $18.44	Professional		$9.24	$12.97	$18.44