Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $56.33 / $111.89	Facility		$28.03	$56.33	$111.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $24.63 / $28.03	Professional		$22.26	$24.63	$28.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $29.68 / $144.54	Facility		$29.68	$29.68	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $17.95	Professional		$14.66	$14.66	$17.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $134.36 / $201.13	Professional		$87.92	$134.36	$201.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $74.77 / $152.66	Facility		$20.74	$74.77	$152.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.94 / $34.28	Professional		$16.82	$19.94	$34.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $37.10 / $43.93	Professional		$35.61	$37.10	$43.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $28.03	Facility		$15.73	$15.73	$28.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $48.00 / $73.00	Professional		$40.79	$48.00	$73.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $41.47 / $4,071.00	Facility		$23.09	$41.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $40.77 / $4,071.00	Professional		$23.09	$40.77	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $29.68 / $51.01	Facility		$19.79	$29.68	$51.01
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.51 / $24.88	Professional		$12.47	$17.51	$24.88