Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $44.06 / $495.57	Facility		$25.67	$44.06	$495.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $23.58 / $25.92	Professional		$17.44	$23.58	$25.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $164.80 / $208.12	Facility		$128.52	$164.80	$208.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $16.52	Professional		$12.38	$12.38	$16.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $47.76 / $71.48	Professional		$31.25	$47.76	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $49.40 / $112.53	Facility		$1.38	$49.40	$112.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $15.30 / $38.04	Professional		$10.02	$15.30	$38.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.29 / $41.47	Professional		$20.05	$24.29	$41.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $25.92 / $40.95	Facility		$13.71	$25.92	$40.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.00 / $66.02	Professional		$21.69	$30.00	$66.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $26.27 / $79.86	Facility		$16.61	$26.27	$79.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $26.60 / $100.00	Professional		$16.61	$26.60	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $13.73 / $22.21	Professional		$10.89	$13.73	$22.21