Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $69.78 / $348.82	Facility		$12.51	$69.78	$348.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.59 / $5.99	Professional		$3.84	$4.59	$5.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $24.93	Facility		$5.12	$5.12	$24.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $3.09	Professional		$2.52	$2.52	$3.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $23.20 / $34.72	Professional		$15.18	$23.20	$34.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $13.51 / $26.40	Facility		$3.58	$13.51	$26.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.94 / $7.70	Professional		$2.90	$3.94	$7.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.40 / $7.58	Professional		$6.14	$6.40	$7.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.63 / $5.12	Facility		$4.30	$4.63	$5.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.74 / $11.00	Professional		$4.75	$7.74	$11.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $7.22 / $71.03	Facility		$4.26	$7.22	$71.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.16 / $4,071.00	Professional		$3.98	$7.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.01 / $4.30	Professional		$2.15	$3.01	$4.30