Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $76.23 / $123.72	Facility		$30.13	$76.23	$123.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $33.34 / $34.14	Professional		$30.13	$33.34	$34.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $195.63	Facility		$40.17	$40.17	$195.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $20.80	Professional		$16.07	$16.07	$20.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $46.92 / $70.23	Professional		$30.70	$46.92	$70.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $41.69 / $182.59	Facility		$24.38	$41.69	$182.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $20.49 / $46.26	Professional		$6.79	$20.49	$46.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $50.21 / $59.45	Professional		$48.20	$50.21	$59.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $29.26 / $34.14	Facility		$19.28	$29.26	$34.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.00 / $27.00	Professional		$14.25	$19.00	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $46.71 / $4,071.00	Facility		$15.68	$46.71	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $47.69 / $4,071.00	Professional		$15.68	$47.69	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $20.09 / $40.17	Facility		$14.06	$20.09	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $17.67 / $24.10	Professional		$6.08	$17.67	$24.10