Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $41.60 / $82.64	Facility		$18.94	$41.60	$82.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $17.97 / $19.51	Professional		$16.44	$17.97	$19.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $107.74	Facility		$21.92	$21.92	$107.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $15.91	Professional		$9.90	$9.90	$15.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $38.47 / $123.29	Professional		$19.73	$38.47	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $51.71 / $105.59	Facility		$25.65	$51.71	$105.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $15.42 / $39.84	Professional		$10.97	$15.42	$39.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $26.30 / $41.65	Professional		$21.92	$26.30	$41.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $35.79 / $57.18	Facility		$20.07	$35.79	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $38.00 / $52.61	Professional		$22.90	$38.00	$52.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $28.02 / $7,420.00	Facility		$19.38	$28.02	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.02 / $7,420.00	Professional		$19.73	$28.02	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.15 / $32.22	Professional		$9.21	$13.15	$32.22