Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $58.57 / $109.46	Facility		$26.23	$58.57	$109.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $24.07 / $26.23	Professional		$22.48	$24.07	$26.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $150.29	Facility		$30.86	$30.86	$150.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $18.67	Professional		$12.34	$12.34	$18.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $105.30 / $157.63	Professional		$68.90	$105.30	$157.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $66.51 / $139.54	Facility		$21.56	$66.51	$139.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $18.52 / $35.52	Professional		$14.43	$18.52	$35.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $38.58 / $45.67	Professional		$37.03	$38.58	$45.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $22.47 / $26.23	Facility		$20.38	$22.47	$26.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $33.51 / $58.00	Professional		$8.30	$33.51	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $36.64 / $4,071.00	Facility		$22.53	$36.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $36.64 / $4,071.00	Professional		$22.53	$36.64	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $14.07 / $20.11	Professional		$12.96	$14.07	$20.11