Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $43.60 / $416.16	Facility		$17.05	$43.60	$416.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.20 / $17.05	Professional		$14.81	$16.20	$17.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $96.18	Facility		$19.75	$19.75	$96.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $11.94	Professional		$8.92	$8.92	$11.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $45.27 / $95.86	Facility		$13.80	$45.27	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.13 / $22.72	Professional		$10.23	$12.13	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $24.69 / $29.23	Professional		$23.70	$24.69	$29.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $16.37 / $17.47	Facility		$15.51	$16.37	$17.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $27.30 / $43.00	Professional		$24.13	$27.30	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $25.91 / $4,071.00	Facility		$14.42	$25.91	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $25.77 / $4,071.00	Professional		$14.04	$25.77	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $19.75 / $31.03	Facility		$12.04	$19.75	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $11.26 / $19.75	Professional		$8.30	$11.26	$19.75