Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $32.00 / $140.12	Facility		$27.54	$32.00	$140.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $28.57 / $72.31	Professional		$22.65	$28.57	$72.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $164.85 / $208.18	Facility		$128.56	$164.85	$208.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $21.76	Professional		$13.54	$13.54	$21.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $28.23 / $52.28	Professional		$26.81	$28.23	$52.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $58.96 / $96.44	Facility		$21.28	$58.96	$96.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.01 / $49.93	Professional		$13.86	$18.01	$49.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $44.08 / $48.54	Professional		$32.61	$44.08	$48.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $41.21 / $66.12	Facility		$29.19	$41.21	$66.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.00 / $77.00	Professional		$33.88	$45.00	$77.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $37.57 / $7,420.00	Facility		$27.72	$37.57	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $38.54 / $7,420.00	Professional		$27.72	$38.54	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.70 / $51.98	Professional		$17.64	$30.70	$51.98