Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $90.25 / $168.43	Facility		$24.66	$90.25	$168.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $17.91 / $23.42	Professional		$15.04	$17.91	$23.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $98.55	Facility		$20.05	$20.05	$98.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $16.47	Professional		$9.90	$9.90	$16.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $39.10 / $123.29	Professional		$20.05	$39.10	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $51.71 / $102.32	Facility		$23.45	$51.71	$102.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.89 / $39.84	Professional		$10.24	$14.89	$39.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.06 / $38.10	Professional		$20.05	$24.06	$38.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $35.39 / $52.47	Facility		$18.94	$35.39	$52.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $36.00 / $50.00	Professional		$20.78	$36.00	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.80 / $7,420.00	Facility		$19.05	$26.80	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.73 / $7,420.00	Professional		$19.05	$26.73	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $28.02	Professional		$8.42	$12.03	$28.02