Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $107.25 / $589.82	Facility		$26.51	$107.25	$589.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.80 / $20.03	Professional		$17.23	$17.80	$20.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $23.57 / $114.79	Facility		$23.57	$23.57	$114.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $14.25	Professional		$9.77	$9.77	$14.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $89.59 / $134.10	Professional		$58.62	$89.59	$134.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $48.98 / $106.88	Facility		$16.47	$48.98	$106.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $14.40 / $27.26	Professional		$11.70	$14.40	$27.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $29.46 / $34.88	Professional		$28.28	$29.46	$34.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $20.50	Facility		$17.94	$17.94	$20.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $25.00 / $47.00	Professional		$18.46	$25.00	$47.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $28.98 / $4,071.00	Facility		$17.21	$28.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $28.64 / $4,071.00	Professional		$16.50	$28.64	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.13 / $20.74	Professional		$9.90	$12.13	$20.74