Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $64.26 / $409.92	Facility		$24.62	$64.26	$409.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.23 / $24.62	Professional		$19.55	$23.23	$24.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $126.96	Facility		$26.07	$26.07	$126.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $15.77	Professional		$12.87	$12.87	$15.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $118.00 / $176.64	Professional		$77.20	$118.00	$176.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $65.36 / $134.18	Facility		$18.22	$65.36	$134.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $17.45 / $30.15	Professional		$14.77	$17.45	$30.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.59 / $38.58	Professional		$31.28	$32.59	$38.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $23.63 / $42.42	Facility		$21.85	$23.63	$42.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.00 / $65.00	Professional		$22.39	$30.00	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $36.42 / $4,071.00	Facility		$20.28	$36.42	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $35.81 / $4,071.00	Professional		$20.28	$35.81	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.38 / $21.85	Professional		$10.95	$15.38	$21.85