Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $37.09 / $221.04	Facility		$15.87	$37.09	$221.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $15.12 / $16.80	Professional		$12.60	$15.12	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $81.81	Facility		$16.80	$16.80	$81.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $10.16	Professional		$8.30	$8.30	$10.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $76.04 / $113.83	Professional		$49.76	$76.04	$113.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $40.02 / $85.52	Facility		$11.74	$40.02	$85.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.30 / $19.41	Professional		$9.52	$11.30	$19.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $21.00 / $24.86	Professional		$20.16	$21.00	$24.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $15.23 / $15.87	Facility		$13.90	$15.23	$15.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $24.00 / $36.00	Professional		$21.84	$24.00	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $22.93 / $4,071.00	Facility		$13.07	$22.93	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $22.39 / $4,071.00	Professional		$13.07	$22.39	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.91 / $13.86	Professional		$7.06	$9.91	$13.86