Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $222.76 / $567.39	Facility		$22.35	$222.76	$567.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.77 / $22.83	Professional		$15.39	$20.77	$22.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $14.47	Professional		$10.80	$10.80	$14.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $82.04 / $122.80	Professional		$53.68	$82.04	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $43.77 / $99.13	Facility		$1.20	$43.77	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $13.23 / $33.29	Professional		$8.47	$13.23	$33.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $21.59 / $35.84	Professional		$17.82	$21.59	$35.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $22.35 / $35.54	Facility		$9.64	$22.35	$35.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $28.00 / $58.18	Professional		$23.80	$28.00	$58.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $21.55 / $52.86	Facility		$14.57	$21.55	$52.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $22.46 / $53.90	Professional		$14.57	$22.46	$53.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $11.91 / $17.21	Professional		$7.75	$11.91	$17.21