Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $91.06 / $184.65	Facility		$17.92	$91.06	$184.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.54 / $17.92	Professional		$14.03	$16.54	$17.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $92.38	Facility		$18.97	$18.97	$92.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $11.47	Professional		$9.36	$9.36	$11.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $85.89 / $128.57	Professional		$56.20	$85.89	$128.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $48.30 / $97.30	Facility		$13.25	$48.30	$97.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.80 / $21.89	Professional		$10.75	$12.80	$21.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $23.71 / $28.08	Professional		$22.76	$23.71	$28.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $17.21 / $17.92	Facility		$15.91	$17.21	$17.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $28.69 / $45.00	Professional		$25.60	$28.69	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $26.06 / $4,071.00	Facility		$14.76	$26.06	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $25.89 / $4,071.00	Professional		$14.76	$25.89	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $38.84	Facility		$18.97	$18.97	$38.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.38 / $15.91	Professional		$7.97	$11.38	$15.91