Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $172.92 / $252.89	Facility		$27.49	$172.92	$252.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $27.49 / $28.08	Professional		$21.84	$27.49	$28.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $68.66 / $102.77	Professional		$44.92	$68.66	$102.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $52.65 / $135.09	Facility		$1.52	$52.65	$135.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $18.72 / $29.81	Professional		$8.82	$18.72	$29.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $32.03 / $32.77	Professional		$31.46	$32.03	$32.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $23.64	Facility		$3.60	$3.60	$23.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $20.63 / $24.67	Professional		$11.57	$20.63	$24.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $38.63 / $4,071.00	Facility		$19.48	$38.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $39.39 / $4,071.00	Professional		$19.48	$39.39	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.73 / $19.53	Professional		$9.15	$14.73	$19.53