Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $55.99 / $195.06	Facility		$21.63	$55.99	$195.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $19.85 / $23.08	Professional		$10.34	$19.85	$23.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $123.94	Facility		$25.45	$25.45	$123.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $15.39	Professional		$10.18	$10.18	$15.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $82.46 / $123.43	Professional		$53.95	$82.46	$123.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $56.30 / $130.85	Facility		$16.54	$56.30	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $14.25 / $36.65	Professional		$0.25	$14.25	$36.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $31.81 / $37.67	Professional		$30.54	$31.81	$37.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $22.91	Facility		$10.50	$10.50	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.36 / $53.45	Professional		$19.95	$20.36	$53.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $29.52 / $105.67	Facility		$17.82	$29.52	$105.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $29.52 / $105.67	Professional		$17.82	$29.52	$105.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $11.45 / $19.09	Professional		$10.69	$11.45	$19.09