Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $66.64 / $108.14	Facility		$29.84	$66.64	$108.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $28.09 / $29.84	Professional		$26.33	$28.09	$29.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $170.99	Facility		$35.11	$35.11	$170.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $19.04	Professional		$14.04	$14.04	$19.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $77.11 / $115.43	Professional		$50.46	$77.11	$115.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $57.88 / $158.84	Facility		$24.53	$57.88	$158.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $17.91 / $40.47	Professional		$11.30	$17.91	$40.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $43.89 / $51.96	Professional		$42.13	$43.89	$51.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $31.60	Facility		$25.57	$25.57	$31.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $22.40 / $27.00	Professional		$18.01	$22.40	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $39.32 / $4,071.00	Facility		$18.54	$39.32	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $39.32 / $4,071.00	Professional		$18.54	$39.32	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $17.55 / $22.82	Facility		$12.29	$17.55	$22.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.75 / $21.07	Professional		$7.79	$14.75	$21.07