Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $65.37 / $186.17	Facility		$25.29	$65.37	$186.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $23.87 / $95.68	Professional		$20.09	$23.87	$95.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $130.41	Facility		$26.78	$26.78	$130.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $16.20	Professional		$13.22	$13.22	$16.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $122.86 / $183.91	Professional		$80.39	$122.86	$183.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $63.79 / $137.56	Facility		$18.71	$63.79	$137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $17.95 / $30.98	Professional		$15.17	$17.95	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $33.47 / $39.63	Professional		$32.14	$33.47	$39.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $24.28 / $27.73	Facility		$22.45	$24.28	$27.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $40.47 / $67.00	Professional		$21.49	$40.47	$67.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $36.54 / $4,071.00	Facility		$20.83	$36.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $36.54 / $4,071.00	Professional		$20.83	$36.54	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $26.78 / $46.02	Facility		$17.85	$26.78	$46.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $22.45	Professional		$11.25	$16.07	$22.45