Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $96.12 / $221.86	Facility		$26.65	$96.12	$221.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $17.37 / $22.42	Professional		$12.55	$17.37	$22.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $94.04	Facility		$19.30	$19.30	$94.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $11.68	Professional		$9.08	$9.08	$11.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $83.27 / $124.65	Professional		$54.48	$83.27	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $48.40 / $97.24	Facility		$13.50	$48.40	$97.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.87 / $28.74	Professional		$10.16	$10.87	$28.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $24.14 / $28.58	Professional		$23.17	$24.14	$28.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $28.61	Facility		$18.88	$18.88	$28.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $27.00 / $33.53	Professional		$25.29	$27.00	$33.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $25.70 / $4,071.00	Facility		$14.31	$25.70	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $25.70 / $4,071.00	Professional		$14.31	$25.70	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.28 / $15.42	Professional		$8.11	$11.28	$15.42