Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $56.01 / $218.91	Facility		$21.67	$56.01	$218.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.50 / $21.67	Professional		$17.21	$20.50	$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 $31.54 / $37.00 / $58.00	Professional		$31.54	$37.00	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $31.51 / $4,071.00	Facility		$17.84	$31.51	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $31.31 / $4,071.00	Professional		$17.84	$31.31	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.56 / $32.06	Professional		$9.63	$13.56	$32.06