Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $156.90 / $529.25	Facility		$25.24	$156.90	$529.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $64.92 / $69.23	Professional		$22.18	$64.92	$69.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $123.94	Facility		$25.45	$25.45	$123.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $15.39	Professional		$12.57	$12.57	$15.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $115.15 / $172.37	Professional		$75.34	$115.15	$172.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.67 / $130.85	Facility		$17.78	$60.67	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $17.12 / $29.32	Professional		$14.42	$17.12	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $31.81 / $37.67	Professional		$30.54	$31.81	$37.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $23.07 / $26.36	Facility		$20.36	$23.07	$26.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.00 / $58.00	Professional		$19.95	$27.00	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $33.90 / $4,071.00	Facility		$19.80	$33.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $33.53 / $4,071.00	Professional		$19.80	$33.53	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.93 / $20.77	Professional		$10.69	$14.93	$20.77