Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $57.00 / $93.37	Facility		$25.53	$57.00	$93.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $24.02 / $25.53	Professional		$22.52	$24.02	$25.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $147.60	Facility		$30.03	$30.03	$147.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $19.51	Professional		$12.01	$12.01	$19.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $40.99 / $123.29	Professional		$21.02	$40.99	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $58.11 / $136.57	Facility		$34.78	$58.11	$136.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.30 / $45.30	Professional		$13.46	$18.30	$45.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $36.04 / $44.44	Professional		$30.03	$36.04	$44.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $37.00 / $57.18	Facility		$26.96	$37.00	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $40.00 / $70.75	Professional		$31.35	$40.00	$70.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $33.29 / $7,420.00	Facility		$22.52	$33.29	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $33.63 / $7,420.00	Professional		$22.52	$33.63	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $15.62 / $32.36	Professional		$11.77	$15.62	$32.36