Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $20.67 / $53.61	Facility		$20.54	$20.67	$53.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $18.80 / $20.67	Professional		$13.96	$18.80	$20.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,418.44 / $1,791.25	Facility		$1,106.21	$1,418.44	$1,791.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $13.32	Professional		$9.94	$9.94	$13.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $55.02 / $82.35	Professional		$36.00	$55.02	$82.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $39.40 / $89.75	Facility		$1.10	$39.40	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.98 / $29.53	Professional		$7.65	$11.98	$29.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $19.66 / $32.64	Professional		$16.23	$19.66	$32.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $20.54 / $32.65	Facility		$9.64	$20.54	$32.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.60 / $52.68	Professional		$16.00	$23.60	$52.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $19.30 / $48.58	Facility		$13.40	$19.30	$48.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $20.36 / $48.81	Professional		$13.40	$20.36	$48.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $297.45 / $297.45	Facility		$12.05	$297.45	$297.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.78 / $15.57	Professional		$7.75	$10.78	$15.57