Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $27.49 / $71.75	Facility		$27.49	$27.49	$71.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $25.54 / $28.08	Professional		$18.85	$25.54	$28.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.30 / $1,315.97 / $1,661.85	Facility		$1,026.30	$1,315.97	$1,661.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $17.94	Professional		$13.39	$13.39	$17.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $59.95	Professional		$15.08	$15.08	$59.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $53.15 / $121.90	Facility		$1.48	$53.15	$121.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.27 / $41.15	Professional		$10.30	$16.27	$41.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $26.22 / $43.52	Professional		$21.64	$26.22	$43.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $27.49 / $44.37	Facility		$13.07	$27.49	$44.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $44.00 / $71.54	Professional		$29.00	$44.00	$71.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $27.55 / $65.00	Facility		$18.07	$27.55	$65.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $28.38 / $66.28	Professional		$18.07	$28.38	$66.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $14.05 / $20.46	Professional		$10.33	$14.05	$20.46