Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $40.74 / $73.14	Facility		$18.32	$40.74	$73.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $16.10 / $18.32	Professional		$14.55	$16.10	$18.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $94.48	Facility		$19.39	$19.39	$94.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $11.73	Professional		$9.58	$9.58	$11.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $87.84 / $131.47	Professional		$57.47	$87.84	$131.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $50.49 / $98.99	Facility		$13.56	$50.49	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.96 / $22.30	Professional		$10.99	$12.96	$22.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $24.25 / $28.71	Professional		$23.28	$24.25	$28.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $17.59 / $18.32	Facility		$16.27	$17.59	$18.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $29.33 / $46.00	Professional		$16.09	$29.33	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $26.57 / $4,071.00	Facility		$15.09	$26.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $25.86 / $4,071.00	Professional		$15.09	$25.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.47 / $16.27	Professional		$8.15	$11.47	$16.27