Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $142.62 / $384.20	Facility		$29.03	$142.62	$384.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.21 / $24.37	Professional		$19.35	$23.21	$24.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $125.69	Facility		$25.81	$25.81	$125.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $15.61	Professional		$12.74	$12.74	$15.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $116.83 / $174.89	Professional		$76.45	$116.83	$174.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $67.95 / $132.54	Facility		$18.04	$67.95	$132.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.29 / $29.74	Professional		$14.62	$17.29	$29.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $32.26 / $38.20	Professional		$30.97	$32.26	$38.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $23.39 / $24.37	Facility		$21.64	$23.39	$24.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $47.00 / $65.00	Professional		$35.47	$47.00	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $36.32 / $4,071.00	Facility		$20.07	$36.32	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $36.06 / $4,071.00	Professional		$20.07	$36.06	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.25 / $21.64	Professional		$10.84	$15.25	$21.64