Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $36.31 / $67.61	Facility		$12.02	$36.31	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $107.15	Facility		$69.18	$89.13	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $12.88	Professional		$7.59	$7.59	$12.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $15.49	Professional		$13.18	$14.13	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.88 / $89.13	Facility		$17.38	$33.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $25.12	Professional		$20.89	$20.89	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $23.99	Professional		$17.38	$19.05	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $26.92	Facility		$12.88	$16.60	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $36.31	Professional		$11.22	$11.22	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Facility		$12.02	$17.38	$31.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $33.11	Professional		$12.02	$17.38	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.38 / $20.42	Facility		$10.23	$17.38	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $19.95	Professional		$7.24	$8.71	$19.95