Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $96.20 / $279.99	Facility		$18.48	$96.20	$279.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.22 / $34.94	Professional		$11.29	$14.22	$34.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $73.29	Facility		$15.05	$15.05	$73.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $9.10	Professional		$7.44	$7.44	$9.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $47.17 / $70.62	Professional		$30.87	$47.17	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $36.01 / $77.18	Facility		$10.52	$36.01	$77.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.14 / $17.35	Professional		$8.52	$10.14	$17.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.80 / $22.27	Professional		$18.05	$18.80	$22.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $13.13 / $15.60	Facility		$12.62	$13.13	$15.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $22.77 / $37.00	Professional		$16.09	$22.77	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $20.46 / $4,071.00	Facility		$11.71	$20.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $20.05 / $4,071.00	Professional		$11.71	$20.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.61 / $15.05	Professional		$6.12	$7.61	$15.05