Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $28.15 / $46.13	Facility		$15.84	$28.15	$46.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $13.98 / $15.84	Professional		$12.41	$13.98	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $90.78	Facility		$18.64	$18.64	$90.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $11.27	Professional		$7.46	$7.46	$11.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $60.39 / $90.40	Professional		$39.52	$60.39	$90.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $41.14 / $95.61	Facility		$12.12	$41.14	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $10.44 / $26.85	Professional		$0.18	$10.44	$26.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $23.30 / $27.59	Professional		$22.37	$23.30	$27.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $16.78	Facility		$13.58	$13.58	$16.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $15.28 / $39.14	Professional		$14.91	$15.28	$39.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $22.13 / $4,071.00	Facility		$13.05	$22.13	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $22.13 / $4,071.00	Professional		$13.05	$22.13	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $22.37 / $22.37	Facility		$22.37	$22.37	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.32 / $13.98	Professional		$7.83	$9.32	$13.98