Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $95.61 / $317.67	Facility		$28.21	$95.61	$317.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.45 / $21.67	Professional		$17.21	$20.45	$21.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $111.72	Facility		$22.94	$22.94	$111.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $13.87	Professional		$11.33	$11.33	$13.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $103.87 / $155.49	Professional		$67.97	$103.87	$155.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $56.10 / $117.43	Facility		$16.03	$56.10	$117.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.46 / $26.43	Professional		$13.00	$15.46	$26.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $28.68 / $33.95	Professional		$27.53	$28.68	$33.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $20.81 / $21.67	Facility		$19.23	$20.81	$21.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $34.69 / $58.00	Professional		$28.16	$34.69	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $32.29 / $4,071.00	Facility		$17.84	$32.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $32.06 / $4,071.00	Professional		$17.84	$32.06	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.56 / $22.94	Professional		$9.63	$13.56	$22.94