Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $35.19 / $69.90	Facility		$17.51	$35.19	$69.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.39 / $17.51	Professional		$13.91	$15.39	$17.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $18.54 / $90.29	Facility		$18.54	$18.54	$90.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $11.21	Professional		$9.16	$9.16	$11.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $83.95 / $125.66	Professional		$54.93	$83.95	$125.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $48.10 / $95.61	Facility		$12.96	$48.10	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $12.47 / $21.06	Professional		$10.51	$12.47	$21.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $23.18 / $27.44	Professional		$22.25	$23.18	$27.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $16.80 / $17.51	Facility		$15.55	$16.80	$17.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $28.20 / $44.00	Professional		$25.49	$28.20	$44.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $25.39 / $4,071.00	Facility		$14.42	$25.39	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $24.71 / $4,071.00	Professional		$14.42	$24.71	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $18.54 / $31.87	Facility		$12.36	$18.54	$31.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.12 / $16.26	Professional		$7.79	$11.12	$16.26