Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $43.60 / $82.23	Facility		$19.52	$43.60	$82.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.07 / $19.52	Professional		$17.23	$19.07	$19.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $111.86	Facility		$22.97	$22.97	$111.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $13.89	Professional		$9.19	$9.19	$13.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $39.59 / $59.27	Professional		$25.91	$39.59	$59.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $42.88 / $103.91	Facility		$16.05	$42.88	$103.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.78 / $26.43	Professional		$10.47	$13.78	$26.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $28.71 / $34.00	Professional		$27.56	$28.71	$34.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $16.73 / $19.52	Facility		$14.77	$16.73	$19.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $28.16 / $41.00	Professional		$23.66	$28.16	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $27.27 / $4,071.00	Facility		$16.07	$27.27	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.27 / $4,071.00	Professional		$16.07	$27.27	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.55 / $14.93	Professional		$5.13	$10.55	$14.93