Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $73.69 / $132.29	Facility		$33.14	$73.69	$132.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $26.32 / $40.99	Professional		$18.60	$26.32	$40.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $27.69	Professional		$17.32	$17.32	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $218.72	Professional		$31.58	$61.58	$218.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $87.92 / $179.50	Facility		$41.06	$87.92	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $25.92 / $69.41	Professional		$18.26	$25.92	$69.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.67	Professional		$35.09	$42.11	$66.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $60.65 / $81.00	Facility		$34.02	$60.65	$81.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $61.00 / $84.22	Professional		$36.63	$61.00	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $45.95 / $7,420.00	Facility		$33.36	$45.95	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.95 / $7,420.00	Professional		$33.36	$45.95	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $49.04	Professional		$14.74	$21.05	$49.04