Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $44.62 / $72.59	Facility		$17.07	$44.62	$72.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $18.11 / $19.14	Professional		$15.21	$18.11	$19.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $98.76	Facility		$20.28	$20.28	$98.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $12.26	Professional		$10.02	$10.02	$12.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $31.65 / $47.38	Professional		$20.71	$31.65	$47.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $48.16 / $104.01	Facility		$14.17	$48.16	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.63 / $23.54	Professional		$11.49	$13.63	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $25.35 / $30.01	Professional		$24.34	$25.35	$30.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $18.38 / $19.14	Facility		$17.00	$18.38	$19.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $30.67 / $48.00	Professional		$21.76	$30.67	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $27.02 / $4,071.00	Facility		$14.80	$27.02	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $27.02 / $4,071.00	Professional		$14.20	$27.02	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $20.28 / $34.86	Facility		$13.52	$20.28	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $9.13 / $16.64	Professional		$4.09	$9.13	$16.64