Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $37.40 / $62.07	Facility		$15.84	$37.40	$62.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $14.62 / $15.84	Professional		$12.75	$14.62	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $82.79	Facility		$17.00	$17.00	$82.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $10.28	Professional		$8.27	$8.27	$10.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $75.95 / $113.68	Professional		$49.69	$75.95	$113.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $42.84 / $87.21	Facility		$11.88	$42.84	$87.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.30 / $19.82	Professional		$9.50	$11.30	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $21.25 / $25.16	Professional		$20.39	$21.25	$25.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $15.21 / $15.84	Facility		$14.06	$15.21	$15.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $25.37 / $47.00	Professional		$23.06	$25.37	$47.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $23.21 / $4,071.00	Facility		$12.41	$23.21	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $22.66 / $4,071.00	Professional		$12.41	$22.66	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $10.19 / $17.00	Professional		$7.14	$10.19	$17.00