Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $57.31 / $93.37	Facility		$23.20	$57.31	$93.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $22.38 / $24.29	Professional		$20.47	$22.38	$24.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $134.13	Facility		$27.29	$27.29	$134.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $17.73	Professional		$10.92	$10.92	$17.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $42.57 / $123.29	Professional		$21.83	$42.57	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $58.11 / $123.21	Facility		$31.93	$58.11	$123.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.66 / $45.30	Professional		$13.34	$16.66	$45.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $32.75 / $42.60	Professional		$27.29	$32.75	$42.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $36.84 / $57.18	Facility		$24.59	$36.84	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $38.00 / $64.45	Professional		$28.53	$38.00	$64.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $30.56 / $7,420.00	Facility		$22.20	$30.56	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $30.56 / $7,420.00	Professional		$22.20	$30.56	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $14.01 / $32.22	Professional		$11.46	$14.01	$32.22