Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $146.52 / $349.93	Facility		$33.99	$146.52	$349.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.78 / $24.05	Professional		$19.10	$21.78	$24.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $124.04	Facility		$25.47	$25.47	$124.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $15.40	Professional		$12.58	$12.58	$15.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $115.25 / $172.51	Professional		$75.41	$115.25	$172.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $67.06 / $130.85	Facility		$17.80	$67.06	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $17.12 / $29.32	Professional		$14.43	$17.12	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $31.84 / $37.70	Professional		$30.56	$31.84	$37.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $23.09 / $24.06	Facility		$21.34	$23.09	$24.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $38.50 / $64.00	Professional		$16.00	$38.50	$64.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $35.84 / $4,071.00	Facility		$19.80	$35.84	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $35.84 / $4,071.00	Professional		$19.80	$35.84	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.28 / $25.47	Professional		$10.70	$15.28	$25.47