Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $45.58 / $90.00	Facility		$21.92	$45.58	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $24.25 / $24.84	Professional		$21.92	$24.25	$24.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $143.62	Facility		$29.22	$29.22	$143.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $18.98	Professional		$11.69	$11.69	$18.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $45.59 / $129.44	Professional		$23.38	$45.59	$129.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $64.23 / $132.12	Facility		$34.18	$64.23	$132.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $17.73 / $47.15	Professional		$13.96	$17.73	$47.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $35.06 / $44.13	Professional		$29.22	$35.06	$44.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $37.90 / $50.26	Facility		$23.24	$37.90	$50.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $40.00 / $69.17	Professional		$30.29	$40.00	$69.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $32.43 / $4,071.00	Facility		$22.36	$32.43	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $32.72 / $4,071.00	Professional		$22.36	$32.72	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $14.61 / $31.50	Professional		$12.27	$14.61	$31.50