Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $45.71	Facility		$14.13	$16.98	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $40.74	Professional		$14.79	$19.05	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.90	Facility		$36.31	$36.31	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $44.67	Professional		$21.38	$21.38	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $25.12	Professional		$19.05	$19.05	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $22.91	Facility		$15.14	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Professional		$16.98	$16.98	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $51.29	Professional		$25.70	$36.31	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $36.31	Professional		$17.78	$23.99	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $51.29	Facility		$14.79	$24.55	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $45.71	Professional		$19.50	$23.99	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.20 / $104.71	Facility		$20.89	$30.20	$104.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $104.71	Professional		$20.89	$30.20	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $48.98	Facility		$12.02	$17.78	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $28.84	Professional		$16.60	$17.78	$28.84