Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $102.00 / $346.22	Facility		$25.39	$102.00	$346.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $30.48 / $31.98	Professional		$25.40	$30.48	$31.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $164.90	Facility		$33.86	$33.86	$164.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $20.48	Professional		$16.72	$16.72	$20.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $153.28 / $229.45	Professional		$100.30	$153.28	$229.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $86.68 / $172.79	Facility		$23.66	$86.68	$172.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $22.77 / $39.24	Professional		$19.18	$22.77	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $42.33 / $50.11	Professional		$40.63	$42.33	$50.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $30.70 / $54.72	Facility		$28.39	$30.70	$54.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $45.00 / $82.00	Professional		$33.59	$45.00	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $45.14 / $4,071.00	Facility		$26.33	$45.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $45.12 / $4,071.00	Professional		$26.33	$45.12	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $28.39	Professional		$14.22	$20.32	$28.39