Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $245.47	Facility		$21.88	$66.07	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $30.20	Professional		$19.95	$21.88	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $120.23	Facility		$15.85	$15.85	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Professional		$12.02	$12.02	$19.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $158.49	Professional		$66.07	$104.71	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $134.90	Facility		$30.20	$58.88	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $40.74	Professional		$13.49	$23.99	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $44.67	Professional		$30.20	$36.31	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.15 / $43.65	Professional		$18.62	$37.15	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Facility		$21.88	$21.88	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $63.10	Professional		$14.45	$23.44	$63.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $4,073.80	Facility		$15.85	$31.62	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $7,413.10	Professional		$15.85	$34.67	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $18.62 / $36.31	Facility		$8.51	$18.62	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.80 / $23.44	Professional		$12.59	$13.80	$23.44