Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $49.31 / $169.86	Facility		$16.03	$49.31	$169.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $14.63 / $16.18	Professional		$11.96	$14.63	$16.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $16.18 / $78.80	Facility		$16.18	$16.18	$78.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $9.77	Professional		$7.99	$7.99	$9.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $73.26 / $109.66	Professional		$47.93	$73.26	$109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $42.19 / $82.20	Facility		$11.30	$42.19	$82.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $10.80 / $18.59	Professional		$9.16	$10.80	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $20.23 / $23.95	Professional		$19.42	$20.23	$23.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $14.67 / $15.27	Facility		$13.57	$14.67	$15.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $24.46 / $39.00	Professional		$17.13	$24.46	$39.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $22.16 / $4,071.00	Facility		$12.58	$22.16	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $21.57 / $4,071.00	Professional		$12.58	$21.57	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $6.80	Facility		$6.80	$6.80	$6.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.56 / $16.96	Professional		$6.80	$9.56	$16.96