Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $80.34 / $165.74	Facility		$22.79	$80.34	$165.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.05 / $27.78	Professional		$10.70	$14.05	$27.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $16.53 / $80.50	Facility		$16.53	$16.53	$80.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $10.00	Professional		$9.92	$9.92	$10.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.86 / $74.64	Professional		$32.63	$49.86	$74.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $30.91 / $74.22	Facility		$11.55	$30.91	$74.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.08 / $24.63	Professional		$7.53	$10.08	$24.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.66 / $24.46	Professional		$19.84	$20.66	$24.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $18.18	Facility		$12.04	$12.04	$18.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $19.00 / $30.00	Professional		$8.44	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $20.01 / $83.31	Facility		$11.95	$20.01	$83.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $20.01 / $83.31	Professional		$11.95	$20.01	$83.31
United Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Facility		$6.94	$6.94	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.58 / $16.53	Professional		$8.27	$10.58	$16.53