Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $64.42 / $127.95	Facility		$32.04	$64.42	$127.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $29.58 / $32.04	Professional		$25.46	$29.58	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $33.94 / $165.29	Facility		$33.94	$33.94	$165.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $20.53	Professional		$16.76	$16.76	$20.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $153.66 / $230.04	Professional		$100.55	$153.66	$230.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $88.63 / $174.48	Facility		$23.72	$88.63	$174.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $22.77 / $39.24	Professional		$19.23	$22.77	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $42.43 / $50.23	Professional		$40.72	$42.43	$50.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $29.59 / $32.04	Facility		$28.46	$29.59	$32.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $51.33 / $82.00	Professional		$12.30	$51.33	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $45.24 / $4,071.00	Facility		$26.40	$45.24	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $45.22 / $4,071.00	Professional		$26.40	$45.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.05 / $28.46	Professional		$14.25	$20.05	$28.46