Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $41.13 / $77.58	Facility		$16.25	$41.13	$77.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.25 / $18.42	Professional		$10.84	$16.25	$18.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $105.53	Facility		$21.67	$21.67	$105.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $13.11	Professional		$8.67	$8.67	$13.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $58.61 / $87.74	Professional		$38.35	$58.61	$87.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $40.36 / $110.72	Facility		$14.24	$40.36	$110.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.05 / $24.78	Professional		$8.31	$11.05	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $27.09 / $32.07	Professional		$26.00	$27.09	$32.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $15.78 / $21.67	Facility		$15.78	$15.78	$21.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $18.09 / $18.66	Professional		$14.09	$18.09	$18.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $24.27 / $4,071.00	Facility		$15.03	$24.27	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $24.27 / $4,071.00	Professional		$15.03	$24.27	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.82 / $18.09	Professional		$7.60	$10.82	$18.09