Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $175.44 / $912.46	Facility		$39.45	$175.44	$912.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $76.25 / $143.82	Professional		$15.53	$76.25	$143.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $87.32	Facility		$17.93	$17.93	$87.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $10.84	Professional		$8.86	$8.86	$10.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $81.19 / $121.54	Professional		$53.13	$81.19	$121.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $44.60 / $92.28	Facility		$12.53	$44.60	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $11.97 / $20.65	Professional		$10.17	$11.97	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $22.41 / $26.54	Professional		$21.52	$22.41	$26.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.64 / $18.57	Facility		$15.04	$15.64	$18.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $27.12 / $43.00	Professional		$20.11	$27.12	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $25.06 / $4,071.00	Facility		$13.95	$25.06	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $25.06 / $4,071.00	Professional		$13.95	$25.06	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.58 / $16.26	Professional		$7.53	$10.58	$16.26