Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $112.55 / $252.99	Facility		$20.19	$112.55	$252.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.09 / $13.54	Professional		$10.16	$12.09	$13.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.54 / $65.94	Facility		$13.54	$13.54	$65.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $8.19	Professional		$6.69	$6.69	$8.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $61.33 / $91.81	Professional		$40.13	$61.33	$91.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $34.88 / $68.78	Facility		$9.46	$34.88	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.14 / $15.69	Professional		$7.68	$9.14	$15.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.93 / $20.04	Professional		$16.25	$16.93	$20.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.81 / $12.79	Facility		$11.36	$11.81	$12.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.25 / $34.00	Professional		$13.45	$20.25	$34.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $19.66 / $4,071.00	Facility		$10.54	$19.66	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $19.05 / $4,071.00	Professional		$10.54	$19.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.95 / $11.36	Professional		$5.69	$7.95	$11.36