Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $45.67 / $74.09	Facility		$19.93	$45.67	$74.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.45 / $45.67	Professional		$18.05	$20.45	$45.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $24.06 / $117.17	Facility		$24.06	$24.06	$117.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $12.46	Professional		$9.61	$9.61	$12.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $79.87 / $119.55	Professional		$52.26	$79.87	$119.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $44.78 / $108.37	Facility		$16.80	$44.78	$108.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.44 / $27.67	Professional		$10.96	$14.44	$27.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $30.08 / $35.61	Professional		$28.87	$30.08	$35.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $28.87	Facility		$17.52	$17.52	$28.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $28.00 / $33.00	Professional		$16.89	$28.00	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $27.98 / $4,071.00	Facility		$15.50	$27.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $28.57 / $4,071.00	Professional		$15.31	$28.57	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.83 / $18.48	Professional		$10.11	$10.83	$18.48