Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $57.26 / $113.74	Facility		$26.31	$57.26	$113.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.04 / $26.31	Professional		$22.63	$25.04	$26.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $146.93	Facility		$30.17	$30.17	$146.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $18.25	Professional		$13.76	$13.76	$18.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $126.10 / $188.76	Professional		$82.51	$126.10	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $37.71 / $44.65	Professional		$36.20	$37.71	$44.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $25.25 / $26.94	Facility		$23.35	$25.25	$26.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $51.00 / $69.00	Professional		$38.29	$51.00	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $39.59 / $4,071.00	Facility		$22.02	$39.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $39.36 / $4,071.00	Professional		$21.67	$39.36	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $17.20 / $29.19	Professional		$12.67	$17.20	$29.19