Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $44.33 / $191.10	Facility		$17.47	$44.33	$191.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $16.12 / $17.47	Professional		$15.11	$16.12	$17.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $20.14 / $98.13	Facility		$20.14	$20.14	$98.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $12.06	Professional		$9.13	$9.13	$12.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $43.77 / $104.01	Facility		$13.24	$43.77	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.33 / $23.13	Professional		$10.48	$12.33	$23.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $25.19 / $29.82	Professional		$24.18	$25.19	$29.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $14.68 / $25.80	Facility		$14.68	$14.68	$25.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $25.23 / $26.03	Professional		$14.84	$25.23	$26.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $25.23 / $4,071.00	Facility		$14.71	$25.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $25.23 / $4,071.00	Professional		$14.71	$25.23	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.08 / $16.48	Professional		$8.46	$10.08	$16.48