Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $336.15 / $808.25	Facility		$63.87	$336.15	$808.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $24.47 / $24.99	Professional		$16.71	$24.47	$24.99
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 $11.81 / $11.81 / $15.00	Professional		$11.81	$11.81	$15.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $41.21 / $61.69	Professional		$26.97	$41.21	$61.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $47.53 / $120.24	Facility		$1.36	$47.53	$120.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $16.64 / $26.53	Professional		$8.49	$16.64	$26.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.74 / $29.40	Professional		$28.22	$28.74	$29.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $13.58 / $21.07	Facility		$11.57	$13.58	$21.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $16.68 / $18.30	Professional		$4.00	$16.68	$18.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $34.40 / $4,071.00	Facility		$18.28	$34.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $34.40 / $4,071.00	Professional		$18.28	$34.40	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.04 / $18.35	Professional		$9.11	$13.04	$18.35