Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $126.91 / $261.32	Facility		$26.06	$126.91	$261.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.47 / $20.05	Professional		$15.92	$18.47	$20.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $103.39	Facility		$21.23	$21.23	$103.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $12.84	Professional		$10.48	$10.48	$12.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $96.13 / $143.90	Professional		$62.90	$96.13	$143.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $52.90 / $109.03	Facility		$14.83	$52.90	$109.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $14.29 / $24.37	Professional		$12.03	$14.29	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $26.54 / $31.42	Professional		$25.48	$26.54	$31.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $18.51 / $20.05	Facility		$17.80	$18.51	$20.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $34.00 / $50.00	Professional		$29.19	$34.00	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $29.16 / $4,071.00	Facility		$16.51	$29.16	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $29.08 / $4,071.00	Professional		$16.51	$29.08	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Facility		$25.48	$25.48	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.55 / $17.80	Professional		$8.92	$12.55	$17.80