Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $76.68 / $977.80	Facility		$20.23	$76.68	$977.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $20.23 / $176.08	Professional		$16.07	$20.23	$176.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $21.42 / $105.28	Facility		$21.42	$21.42	$105.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $19.48	Professional		$12.13	$12.13	$19.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $41.77 / $131.69	Professional		$21.42	$41.77	$131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $51.38 / $109.03	Facility		$25.06	$51.38	$109.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.91 / $42.82	Professional		$11.16	$15.91	$42.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $40.70	Professional		$21.42	$25.70	$40.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $39.14 / $59.55	Facility		$20.57	$39.14	$59.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $41.00 / $55.00	Professional		$22.20	$41.00	$55.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $29.24 / $4,071.00	Facility		$20.36	$29.24	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $28.72 / $7,420.00	Professional		$20.36	$28.72	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $20.51 / $43.86	Professional		$12.85	$20.51	$43.86