Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $59.26 / $96.16	Facility		$26.54	$59.26	$96.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $25.60 / $27.79	Professional		$23.42	$25.60	$27.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $31.22 / $153.44	Facility		$31.22	$31.22	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $20.29	Professional		$12.49	$12.49	$20.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $42.61 / $123.29	Professional		$21.85	$42.61	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $58.33 / $141.02	Facility		$34.78	$58.33	$141.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.92 / $45.63	Professional		$13.61	$18.92	$45.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $37.46 / $46.21	Professional		$31.22	$37.46	$46.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $37.46 / $57.18	Facility		$28.09	$37.46	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.00 / $73.90	Professional		$32.40	$40.00	$73.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $33.29 / $7,420.00	Facility		$23.42	$33.29	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $34.86 / $7,420.00	Professional		$23.42	$34.86	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $37.46 / $37.46	Facility		$37.46	$37.46	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $15.61 / $39.11	Professional		$11.77	$15.61	$39.11