Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $145.13 / $294.38	Facility		$38.25	$145.13	$294.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.39 / $20.16	Professional		$11.76	$14.39	$20.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $81.81	Facility		$16.80	$16.80	$81.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $10.16	Professional		$10.08	$10.08	$10.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $76.04 / $113.83	Professional		$49.76	$76.04	$113.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $44.39 / $85.52	Facility		$11.74	$44.39	$85.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.84 / $25.10	Professional		$9.52	$13.84	$25.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $21.00 / $24.86	Professional		$20.16	$21.00	$24.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $14.38 / $16.80	Facility		$13.72	$14.38	$16.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $24.64 / $41.00	Professional		$14.60	$24.64	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $23.64 / $154.61	Facility		$14.00	$23.64	$154.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $23.64 / $154.61	Professional		$14.00	$23.64	$154.61
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $16.80	Professional		$7.06	$10.08	$16.80