Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $54.75 / $125.14	Facility		$24.62	$54.75	$125.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.38 / $24.62	Professional		$19.55	$21.38	$24.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $128.13	Facility		$26.07	$26.07	$128.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $20.68	Professional		$12.87	$12.87	$20.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $50.84 / $801.28	Professional		$26.07	$50.84	$801.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $65.36 / $134.18	Facility		$30.51	$65.36	$134.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $19.25 / $54.19	Professional		$13.21	$19.25	$54.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $31.28 / $49.53	Professional		$26.07	$31.28	$49.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $45.05 / $69.87	Facility		$25.02	$45.05	$69.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $48.00 / $71.00	Professional		$27.12	$48.00	$71.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $35.46 / $7,420.00	Facility		$24.78	$35.46	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $34.75 / $7,420.00	Professional		$24.78	$34.75	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $35.49	Professional		$10.95	$15.64	$35.49