Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $43.90 / $111.02	Facility		$21.12	$43.90	$111.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $19.20 / $21.12	Professional		$17.35	$19.20	$21.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $112.64	Facility		$15.42	$15.42	$112.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $13.99	Professional		$11.04	$11.04	$13.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $101.22 / $151.51	Professional		$66.23	$101.22	$151.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $59.00 / $118.08	Facility		$16.16	$59.00	$118.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $21.41 / $28.59	Professional		$0.47	$21.41	$28.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $28.91 / $34.22	Professional		$27.76	$28.91	$34.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $25.03 / $25.03	Facility		$21.12	$25.03	$25.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $31.00 / $54.00	Professional		$23.16	$31.00	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $26.90 / $113.73	Facility		$15.03	$26.90	$113.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $28.00 / $136.88	Professional		$15.03	$28.00	$136.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Facility		$9.71	$9.71	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.21 / $18.73	Professional		$9.71	$13.21	$18.73