Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $73.04 / $168.70	Facility		$13.70	$73.04	$168.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.35 / $10.14	Professional		$8.06	$9.35	$10.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $52.30	Facility		$10.74	$10.74	$52.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.49	Professional		$5.30	$5.30	$6.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $48.63 / $72.80	Professional		$31.82	$48.63	$72.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $27.77 / $55.36	Facility		$7.51	$27.77	$55.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.16 / $12.39	Professional		$6.09	$7.16	$12.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $13.43 / $15.90	Professional		$12.89	$13.43	$15.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $9.35 / $10.14	Facility		$9.01	$9.35	$10.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $16.23 / $28.00	Professional		$10.70	$16.23	$28.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $15.12 / $4,071.00	Facility		$8.35	$15.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $15.12 / $4,071.00	Professional		$8.35	$15.12	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.30 / $8.86	Professional		$4.51	$6.30	$8.86