Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $1,412.54	Facility		$30.20	$52.48	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $33.11	Professional		$19.95	$25.70	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $208.93	Facility		$134.90	$177.83	$208.93
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 $23.99 / $26.92 / $74.13	Professional		$23.99	$26.92	$74.13
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 $11.48 / $18.20 / $44.67	Professional		$11.48	$18.20	$44.67
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 $18.20 / $30.20 / $47.86	Facility		$18.20	$30.20	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $19.95	Professional		$13.18	$13.18	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $74.13	Facility		$19.50	$27.54	$74.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $74.13	Professional		$19.95	$28.84	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $34.67 / $275.42	Facility		$12.88	$34.67	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $24.55	Professional		$10.23	$15.49	$24.55