Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $230.91 / $793.96	Facility		$28.63	$230.91	$793.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $66.54 / $88.72	Professional		$23.05	$66.54	$88.72
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 $21.11 / $23.07 / $26.36	Facility		$21.11	$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 / $34.93 / $4,071.00	Facility		$19.80	$34.93	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $34.28 / $4,071.00	Professional		$19.80	$34.28	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.73 / $16.54	Facility		$8.91	$12.73	$16.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.93 / $18.95	Professional		$10.69	$14.93	$18.95