Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $63.00 / $143.63	Facility		$0.03	$63.00	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $56.94 / $192.90	Professional		$27.00	$56.94	$192.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $146.10	Facility		$30.00	$30.00	$146.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $15.54	Professional		$12.00	$12.00	$15.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $54.56 / $81.67	Professional		$35.70	$54.56	$81.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $43.68 / $136.57	Facility		$20.96	$43.68	$136.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $15.30 / $34.69	Professional		$7.98	$15.30	$34.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.50 / $44.40	Professional		$36.00	$37.50	$44.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $21.85 / $21.85	Facility		$10.10	$21.85	$21.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $20.11 / $31.00	Professional		$16.57	$20.11	$31.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $34.50 / $4,071.00	Facility		$16.96	$34.50	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $34.88 / $4,071.00	Professional		$16.96	$34.88	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $13.50 / $18.00	Professional		$7.12	$13.50	$18.00