Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $41.14 / $250.10	Facility		$18.50	$41.14	$250.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $16.26 / $18.50	Professional		$14.69	$16.26	$18.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $95.40	Facility		$19.59	$19.59	$95.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $11.85	Professional		$9.67	$9.67	$11.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $94.93 / $142.11	Professional		$62.12	$94.93	$142.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $53.25 / $100.63	Facility		$13.69	$53.25	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.13 / $28.39	Professional		$11.10	$14.13	$28.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $24.49 / $28.99	Professional		$23.51	$24.49	$28.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $42.94	Facility		$10.38	$10.38	$42.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $39.00 / $72.39	Professional		$28.82	$39.00	$72.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $26.11 / $4,071.00	Facility		$15.23	$26.11	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $26.10 / $4,071.00	Professional		$15.23	$26.10	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.31 / $29.30	Professional		$8.23	$12.31	$29.30