Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.92 / $135.53 / $268.87	Facility		$23.92	$135.53	$268.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $18.98 / $20.09	Professional		$15.72	$18.98	$20.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $103.54	Facility		$21.26	$21.26	$103.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $12.86	Professional		$10.50	$10.50	$12.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $78.73 / $117.86	Professional		$51.52	$78.73	$117.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $52.86 / $109.03	Facility		$14.85	$52.86	$109.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.29 / $24.37	Professional		$12.05	$14.29	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $26.58 / $31.46	Professional		$25.51	$26.58	$31.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $19.27 / $20.09	Facility		$17.82	$19.27	$20.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.00 / $50.00	Professional		$19.05	$26.00	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $29.20 / $4,071.00	Facility		$16.54	$29.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $29.11 / $4,071.00	Professional		$16.54	$29.11	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.06 / $21.26	Professional		$8.93	$11.06	$21.26