Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $56.79 / $143.62	Facility		$25.43	$56.79	$143.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $22.44 / $25.43	Professional		$21.62	$22.44	$25.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $145.71	Facility		$15.42	$15.42	$145.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $18.10	Professional		$11.97	$11.97	$18.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $101.48 / $151.90	Professional		$66.40	$101.48	$151.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $58.37 / $135.09	Facility		$20.91	$58.37	$135.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $23.08 / $34.28	Professional		$0.54	$23.08	$34.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $37.40 / $44.28	Professional		$35.90	$37.40	$44.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $25.43	Facility		$21.79	$21.79	$25.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $31.00 / $54.00	Professional		$14.60	$31.00	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $31.32 / $125.06	Facility		$15.32	$31.32	$125.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.17 / $126.85	Professional		$16.22	$33.17	$126.85
United Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $29.92 / $45.87	Facility		$28.19	$29.92	$45.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.96 / $19.45	Professional		$12.57	$14.96	$19.45