Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $37.20 / $86.18	Facility		$17.32	$37.20	$86.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.50 / $40.54	Professional		$15.32	$19.50	$40.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $120.14 / $151.72	Facility		$93.70	$120.14	$151.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $23.01	Professional		$14.16	$14.16	$23.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $38.24 / $86.28	Professional		$19.61	$38.24	$86.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $37.33 / $54.02	Facility		$16.94	$37.33	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.18 / $48.72	Professional		$8.98	$13.18	$48.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $30.18 / $48.18	Professional		$22.35	$30.18	$48.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $29.23 / $57.48	Facility		$19.73	$29.23	$57.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $40.49 / $79.00	Professional		$23.97	$40.49	$79.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $24.82 / $100.39	Facility		$16.27	$24.82	$100.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $41.89 / $102.50	Professional		$21.79	$41.89	$102.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $26.60 / $56.03	Professional		$14.41	$26.60	$56.03