Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $51.45 / $73.09	Facility		$20.32	$51.45	$73.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $20.32 / $23.04	Professional		$13.48	$20.32	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $132.03	Facility		$27.11	$27.11	$132.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $16.39	Professional		$10.84	$10.84	$16.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $87.84 / $131.47	Professional		$57.47	$87.84	$131.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $50.46 / $139.25	Facility		$17.62	$50.46	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.46 / $39.24	Professional		$11.29	$16.46	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.89 / $40.11	Professional		$32.53	$33.89	$40.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $23.04	Facility		$13.58	$13.58	$23.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $27.11 / $56.93	Professional		$19.54	$27.11	$56.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $32.19 / $4,071.00	Facility		$18.98	$32.19	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $32.19 / $4,071.00	Professional		$18.98	$32.19	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $32.53	Facility		$32.53	$32.53	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.56 / $27.11	Professional		$11.39	$13.56	$27.11