Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $34.54 / $84.38	Facility		$15.54	$34.54	$84.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.65 / $15.54	Professional		$12.34	$13.65	$15.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $16.45 / $80.11	Facility		$16.45	$16.45	$80.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $9.94	Professional		$8.11	$8.11	$9.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $74.52 / $111.55	Professional		$48.76	$74.52	$111.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $43.02 / $83.89	Facility		$11.50	$43.02	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $10.97 / $19.00	Professional		$9.32	$10.97	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $20.56 / $24.35	Professional		$19.73	$20.56	$24.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $14.92 / $15.54	Facility		$13.63	$14.92	$15.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $24.88 / $37.00	Professional		$18.95	$24.88	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $21.92 / $4,071.00	Facility		$12.80	$21.92	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $21.92 / $4,071.00	Professional		$12.80	$21.92	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.73 / $16.45	Professional		$6.91	$9.73	$16.45