Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $56.24 / $275.95	Facility		$25.67	$56.24	$275.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $23.88 / $25.92	Professional		$17.44	$23.88	$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 $15.08 / $15.08 / $35.51	Professional		$15.08	$15.08	$35.51
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 $9.23 / $15.02 / $36.90	Professional		$9.23	$15.02	$36.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.29 / $40.32	Professional		$20.05	$24.29	$40.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $25.67 / $40.82	Facility		$9.64	$25.67	$40.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $37.00 / $66.02	Professional		$27.00	$37.00	$66.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $24.42 / $61.19	Facility		$16.05	$24.42	$61.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $25.24 / $62.47	Professional		$16.61	$25.24	$62.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $13.52 / $18.82	Professional		$7.75	$13.52	$18.82