Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $60.52 / $124.15	Facility		$24.11	$60.52	$124.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $22.24 / $24.11	Professional		$19.14	$22.24	$24.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $124.33	Facility		$25.53	$25.53	$124.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $12.61 / $15.44	Professional		$12.61	$12.61	$15.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $115.57 / $173.00	Professional		$75.62	$115.57	$173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $64.04 / $130.85	Facility		$17.84	$64.04	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $17.12 / $29.32	Professional		$14.47	$17.12	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $31.91 / $37.78	Professional		$30.64	$31.91	$37.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $22.24 / $24.11	Facility		$21.40	$22.24	$24.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $38.61 / $64.00	Professional		$25.30	$38.61	$64.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $35.93 / $4,071.00	Facility		$19.86	$35.93	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $35.67 / $4,071.00	Professional		$19.86	$35.67	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $52.25	Facility		$25.53	$25.53	$52.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.32 / $26.75	Professional		$10.72	$15.32	$26.75