Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $95.46 / $316.48	Facility		$19.19	$95.46	$316.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $17.72 / $19.19	Professional		$15.24	$17.72	$19.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $98.96	Facility		$20.32	$20.32	$98.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $12.29	Professional		$10.03	$10.03	$12.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $91.98 / $137.69	Professional		$60.19	$91.98	$137.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $52.92 / $104.01	Facility		$14.20	$52.92	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.63 / $23.54	Professional		$11.52	$13.63	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $25.40 / $30.07	Professional		$24.38	$25.40	$30.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $17.72 / $21.04	Facility		$16.86	$17.72	$21.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $28.00 / $42.00	Professional		$19.27	$28.00	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $27.74 / $4,071.00	Facility		$15.81	$27.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $27.09 / $4,071.00	Professional		$15.81	$27.09	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.92 / $20.32	Professional		$8.52	$11.92	$20.32