Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $52.77 / $233.10	Facility		$20.22	$52.77	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $19.27 / $20.22	Professional		$16.05	$19.27	$20.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $104.27	Facility		$21.41	$21.41	$104.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $12.95	Professional		$10.57	$10.57	$12.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $78.76 / $117.90	Professional		$51.54	$78.76	$117.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $54.91 / $109.03	Facility		$14.96	$54.91	$109.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $14.46 / $24.37	Professional		$12.13	$14.46	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $26.76 / $31.69	Professional		$25.69	$26.76	$31.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $19.41 / $22.18	Facility		$17.95	$19.41	$22.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $35.00 / $50.00	Professional		$29.43	$35.00	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $29.09 / $4,071.00	Facility		$16.64	$29.09	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $28.53 / $4,071.00	Professional		$16.64	$28.53	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.20 / $17.66	Professional		$8.99	$12.20	$17.66