Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $39.71 / $100.35	Facility		$17.05	$39.71	$100.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.44 / $17.05	Professional		$13.06	$14.44	$17.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $87.90	Facility		$18.05	$18.05	$87.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.92	Professional		$8.91	$8.91	$10.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $79.80 / $119.46	Professional		$52.22	$79.80	$119.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $43.15 / $92.28	Facility		$11.86	$43.15	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.04 / $20.65	Professional		$10.23	$12.04	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $22.56 / $26.71	Professional		$21.66	$22.56	$26.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $13.15 / $25.43	Facility		$13.15	$13.15	$25.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $24.63 / $25.41	Professional		$14.48	$24.63	$25.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $24.14 / $4,071.00	Facility		$14.04	$24.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $24.14 / $4,071.00	Professional		$14.04	$24.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.34 / $18.47	Professional		$7.58	$10.34	$18.47