Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $26.70 / $43.34	Facility		$11.18	$26.70	$43.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.26 / $11.96	Professional		$10.55	$11.26	$11.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $14.07 / $68.52	Facility		$14.07	$14.07	$68.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $7.28	Professional		$5.63	$5.63	$7.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $27.12 / $40.59	Professional		$17.73	$27.12	$40.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $21.72 / $63.83	Facility		$9.83	$21.72	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $7.17 / $16.11	Professional		$3.91	$7.17	$16.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $17.59 / $20.82	Professional		$16.88	$17.59	$20.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.25 / $11.96	Facility		$5.01	$10.25	$11.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $8.24 / $13.00	Professional		$8.03	$8.24	$13.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $16.36 / $4,071.00	Facility		$8.44	$16.36	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $16.71 / $4,071.00	Professional		$8.44	$16.71	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $6.33 / $8.44	Professional		$3.52	$6.33	$8.44