Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $87.21 / $164.88	Facility		$13.32	$87.21	$164.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $6.46 / $15.00	Professional		$5.63	$6.46	$15.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $41.93	Facility		$8.61	$8.61	$41.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $5.20	Professional		$5.17	$5.17	$5.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $28.64 / $42.87	Professional		$18.73	$28.64	$42.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $15.88 / $38.60	Facility		$6.02	$15.88	$38.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.19 / $12.83	Professional		$3.81	$5.19	$12.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.76 / $12.74	Professional		$10.33	$10.76	$12.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $6.27 / $7.32	Facility		$5.71	$6.27	$7.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.00 / $13.00	Professional		$8.69	$10.00	$13.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.42 / $101.82	Facility		$6.03	$10.42	$101.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.42 / $101.82	Professional		$6.03	$10.42	$101.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.54 / $8.84	Professional		$4.30	$5.54	$8.84