Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $53.03 / $61.99	Facility		$23.75	$53.03	$61.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $23.75 / $25.34	Professional		$20.96	$23.75	$25.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $136.07	Facility		$27.94	$27.94	$136.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $16.89	Professional		$11.18	$11.18	$16.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $90.53 / $135.51	Professional		$59.23	$90.53	$135.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $51.72 / $142.57	Facility		$18.16	$51.72	$142.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $16.87 / $39.75	Professional		$11.64	$16.87	$39.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $34.93 / $41.35	Professional		$33.53	$34.93	$41.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $25.33 / $25.33	Facility		$22.35	$25.33	$25.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.94 / $58.67	Professional		$22.91	$27.94	$58.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $33.17 / $4,071.00	Facility		$19.55	$33.17	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $33.17 / $4,071.00	Professional		$19.55	$33.17	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.97 / $20.96	Professional		$11.73	$13.97	$20.96