Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $139.99 / $255.69	Facility		$27.72	$139.99	$255.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $25.58 / $29.35	Professional		$22.01	$25.58	$29.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $142.93	Facility		$15.42	$15.42	$142.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $14.49 / $17.75	Professional		$14.49	$14.49	$17.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $132.84 / $198.85	Professional		$86.92	$132.84	$198.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $77.40 / $150.97	Facility		$20.50	$77.40	$150.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $27.60 / $34.43	Professional		$0.54	$27.60	$34.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $36.69 / $43.44	Professional		$35.22	$36.69	$43.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $28.20 / $30.41	Facility		$27.72	$28.20	$30.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $40.34 / $72.00	Professional		$24.83	$40.34	$72.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $32.86 / $122.67	Facility		$15.28	$32.86	$122.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $33.75 / $124.43	Professional		$15.32	$33.75	$124.43
United Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $60.06	Facility		$29.35	$29.35	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.61 / $29.35	Professional		$12.33	$17.61	$29.35