Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $56.56 / $93.37	Facility		$25.33	$56.56	$93.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $24.44 / $26.52	Professional		$22.35	$24.44	$26.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $146.47	Facility		$29.80	$29.80	$146.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $19.37	Professional		$11.92	$11.92	$19.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $40.68 / $123.29	Professional		$20.86	$40.68	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $58.11 / $135.09	Facility		$34.78	$58.11	$135.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.10 / $45.30	Professional		$13.46	$18.10	$45.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $35.76 / $44.10	Professional		$29.80	$35.76	$44.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $37.22 / $57.18	Facility		$26.85	$37.22	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.00 / $70.75	Professional		$31.00	$40.00	$70.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $32.61 / $7,420.00	Facility		$22.35	$32.61	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $33.38 / $7,420.00	Professional		$22.35	$33.38	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $14.90 / $32.22	Professional		$11.77	$14.90	$32.22