Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $54.33 / $212.77	Facility		$23.02	$54.33	$212.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $21.09 / $23.02	Professional		$18.28	$21.09	$23.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $24.37 / $118.68	Facility		$24.37	$24.37	$118.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $14.74	Professional		$12.04	$12.04	$14.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $110.32 / $165.14	Professional		$72.19	$110.32	$165.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $62.99 / $124.14	Facility		$17.03	$62.99	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $16.29 / $28.08	Professional		$13.81	$16.29	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $30.46 / $36.07	Professional		$29.24	$30.46	$36.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $21.25 / $25.25	Facility		$20.43	$21.25	$25.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $36.85 / $62.00	Professional		$18.54	$36.85	$62.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $34.29 / $4,071.00	Facility		$18.96	$34.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $34.04 / $4,071.00	Professional		$18.96	$34.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.41 / $24.37	Professional		$10.24	$14.41	$24.37