Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $49.84 / $394.18	Facility		$17.98	$49.84	$394.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.00 / $17.98	Professional		$14.08	$17.00	$17.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $92.72	Facility		$19.04	$19.04	$92.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $11.51	Professional		$9.40	$9.40	$11.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $86.18 / $129.01	Professional		$56.39	$86.18	$129.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $46.57 / $97.30	Facility		$13.30	$46.57	$97.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $12.80 / $21.89	Professional		$10.80	$12.80	$21.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $23.80 / $28.18	Professional		$22.85	$23.80	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $17.26 / $17.98	Facility		$15.96	$17.26	$17.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $28.79 / $45.00	Professional		$26.17	$28.79	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $27.63 / $4,071.00	Facility		$14.81	$27.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $26.80 / $4,071.00	Professional		$14.81	$26.80	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.23 / $15.96	Professional		$8.00	$11.23	$15.96