Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $115.20 / $180.00	Facility		$25.26	$115.20	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.78 / $18.63	Professional		$11.86	$14.78	$18.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $82.50	Facility		$16.94	$16.94	$82.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $10.24	Professional		$8.36	$8.36	$10.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $76.69 / $114.80	Professional		$50.18	$76.69	$114.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $42.23 / $87.21	Facility		$11.83	$42.23	$87.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $13.02 / $25.10	Professional		$9.60	$13.02	$25.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $21.18 / $25.07	Professional		$20.32	$21.18	$25.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.77 / $16.00	Facility		$14.20	$14.77	$16.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $27.00 / $41.00	Professional		$23.29	$27.00	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $24.58 / $4,071.00	Facility		$13.17	$24.58	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $23.84 / $4,071.00	Professional		$13.17	$23.84	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $16.26	Professional		$7.11	$10.16	$16.26