Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $39.99 / $157.97	Facility		$15.47	$39.99	$157.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $14.74 / $19.14	Professional		$12.29	$14.74	$19.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $79.77	Facility		$16.38	$16.38	$79.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $9.90	Professional		$8.09	$8.09	$9.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $74.20 / $111.07	Professional		$48.55	$74.20	$111.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $42.02 / $83.89	Facility		$11.45	$42.02	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.97 / $19.00	Professional		$9.27	$10.97	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $20.48 / $24.24	Professional		$19.66	$20.48	$24.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $14.87 / $15.47	Facility		$13.74	$14.87	$15.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.00 / $40.00	Professional		$4.75	$7.00	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $22.44 / $4,071.00	Facility		$12.74	$22.44	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $21.83 / $4,071.00	Professional		$12.74	$21.83	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.69 / $13.74	Professional		$6.88	$9.69	$13.74