Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $145.44 / $250.65	Facility		$21.66	$145.44	$250.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $7.62 / $9.94	Professional		$3.34	$7.62	$9.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $47.58	Facility		$9.77	$9.77	$47.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $5.91	Professional		$3.91	$3.91	$5.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $48.70 / $72.90	Professional		$31.86	$48.70	$72.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $22.65 / $45.48	Facility		$6.82	$22.65	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $7.13 / $11.15	Professional		$4.45	$7.13	$11.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $12.21 / $14.46	Professional		$11.72	$12.21	$14.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $9.94 / $9.94	Facility		$4.82	$9.94	$9.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $15.77 / $23.93	Professional		$4.51	$15.77	$23.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $17.86 / $190.00	Facility		$7.13	$17.86	$190.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $18.21 / $190.00	Professional		$7.13	$18.21	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.86 / $9.77	Professional		$4.09	$5.86	$9.77