Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $136.97 / $332.13	Facility		$25.33	$136.97	$332.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.60 / $26.60	Professional		$25.33	$26.60	$26.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $53.45 / $86.12	Facility		$25.33	$53.45	$86.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $198.33 / $299.30	Professional		$174.29	$198.33	$299.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $25.33	Facility		$23.90	$23.90	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $30.40 / $91.79	Professional		$21.53	$30.40	$91.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $33.65 / $624.83	Facility		$25.33	$33.65	$624.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $345.00	Professional		$345.00	$345.00	$345.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $30.65 / $36.97	Facility		$24.06	$30.65	$36.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $30.65 / $36.97	Professional		$24.06	$30.65	$36.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.85 / $32.93	Professional		$25.33	$26.85	$32.93