Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $72.18 / $161.50	Facility		$25.29	$72.18	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $24.10 / $25.29	Professional		$20.09	$24.10	$25.29
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 $79.31 / $121.21 / $181.44	Professional		$79.31	$121.21	$181.44
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 $28.96 / $40.47 / $67.00	Professional		$28.96	$40.47	$67.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $36.65 / $4,071.00	Facility		$20.83	$36.65	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $36.38 / $4,071.00	Professional		$20.83	$36.38	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.82 / $22.45	Professional		$11.25	$15.82	$22.45