Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $114.75 / $308.56	Facility		$25.39	$114.75	$308.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.85 / $30.34	Professional		$12.77	$14.85	$30.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $82.94	Facility		$17.03	$17.03	$82.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $10.30	Professional		$8.41	$8.41	$10.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $77.11 / $115.43	Professional		$50.46	$77.11	$115.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $42.96 / $87.21	Facility		$11.90	$42.96	$87.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $11.47 / $19.82	Professional		$9.65	$11.47	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $21.29 / $25.20	Professional		$20.44	$21.29	$25.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $14.85 / $20.17	Facility		$14.28	$14.85	$20.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.00 / $41.00	Professional		$19.95	$27.00	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $23.80 / $4,071.00	Facility		$13.24	$23.80	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $23.80 / $4,071.00	Professional		$13.24	$23.80	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $17.03 / $29.28	Facility		$11.35	$17.03	$29.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.05 / $13.97	Professional		$7.15	$10.05	$13.97