Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $79.43 / $309.03	Facility		$30.20	$79.43	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $32.36	Professional		$19.95	$25.70	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $154.88	Facility		$97.72	$128.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $24.55	Professional		$14.79	$14.79	$24.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $35.48	Professional		$13.49	$15.14	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $56.23 / $144.54	Facility		$1.58	$56.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $43.65	Professional		$10.72	$17.38	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $51.29	Professional		$24.55	$30.90	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $48.98	Facility		$13.18	$30.20	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $14.45 / $14.45	Professional		$3.98	$14.45	$14.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.84 / $74.13	Facility		$19.95	$28.84	$74.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $74.13	Professional		$19.95	$29.51	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $25.12 / $114.82	Facility		$8.13	$25.12	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $22.91	Professional		$11.48	$15.14	$22.91