Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $56.45 / $99.98	Facility		$22.85	$56.45	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $22.85 / $26.38	Professional		$20.16	$22.85	$26.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $132.12	Facility		$26.88	$26.88	$132.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $17.47	Professional		$10.75	$10.75	$17.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $41.92 / $123.29	Professional		$21.50	$41.92	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $58.11 / $121.73	Facility		$31.45	$58.11	$121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $16.51 / $44.19	Professional		$13.23	$16.51	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $32.26 / $42.60	Professional		$26.88	$32.26	$42.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $36.75 / $57.18	Facility		$24.22	$36.75	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $38.00 / $63.67	Professional		$27.83	$38.00	$63.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $32.31 / $196.91	Facility		$22.41	$32.31	$196.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $32.54 / $4,071.00	Professional		$22.20	$32.54	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.98 / $28.98	Professional		$11.29	$13.98	$28.98