Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $38.39 / $99.37	Facility		$15.93	$38.39	$99.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $15.18 / $15.93	Professional		$12.65	$15.18	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $82.16	Facility		$16.87	$16.87	$82.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $10.19	Professional		$8.33	$8.33	$10.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $76.37 / $114.31	Professional		$49.97	$76.37	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $40.02 / $87.21	Facility		$11.79	$40.02	$87.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.30 / $19.41	Professional		$9.55	$11.30	$19.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $21.09 / $24.97	Professional		$20.23	$21.09	$24.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $15.29 / $15.93	Facility		$14.14	$15.29	$15.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $25.50 / $41.00	Professional		$3.90	$25.50	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $23.10 / $4,071.00	Facility		$13.12	$23.10	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $22.49 / $4,071.00	Professional		$13.12	$22.49	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $34.52	Facility		$16.87	$16.87	$34.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.94 / $14.14	Professional		$7.09	$9.94	$14.14