Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $73.69 / $206.31	Facility		$33.14	$73.69	$206.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $26.30 / $33.14	Professional		$25.17	$26.30	$33.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $170.89	Facility		$35.09	$35.09	$170.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $24.14	Professional		$17.32	$17.32	$24.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $218.72	Professional		$31.58	$61.58	$218.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $87.92 / $179.50	Facility		$24.52	$87.92	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $23.64 / $58.17	Professional		$17.45	$23.64	$58.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.67	Professional		$35.09	$42.11	$66.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $34.02 / $64.20	Facility		$25.55	$34.02	$64.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $56.00 / $84.22	Professional		$33.71	$56.00	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $46.75 / $148.77	Facility		$31.19	$46.75	$148.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $46.75 / $148.77	Professional		$31.58	$46.75	$148.77
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $46.29	Professional		$14.74	$21.05	$46.29