Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.13 / $20.42	Facility		$10.96	$14.13	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $20.89	Professional		$11.22	$14.79	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $2,511.89	Professional		$14.45	$21.88	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $72.44	Professional		$11.48	$16.98	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $30.90	Professional		$10.00	$12.30	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $27.54	Professional		$19.05	$23.44	$27.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $28.84	Facility		$11.75	$16.98	$28.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.20 / $1,659.59	Facility		$11.48	$18.20	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $1,659.59	Professional		$11.48	$18.20	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $26.30	Professional		$10.00	$16.22	$26.30