Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $47.64 / $210.01	Facility		$16.36	$47.64	$210.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.47 / $16.36	Professional		$13.24	$15.47	$16.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $85.96	Facility		$17.64	$17.64	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $10.67	Professional		$8.55	$8.55	$10.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $77.98 / $116.74	Professional		$51.03	$77.98	$116.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $43.38 / $90.59	Facility		$12.33	$43.38	$90.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $11.63 / $20.65	Professional		$9.82	$11.63	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $22.06 / $26.12	Professional		$21.18	$22.06	$26.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $15.70 / $16.36	Facility		$14.52	$15.70	$16.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $22.78 / $42.00	Professional		$20.71	$22.78	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $23.72 / $4,071.00	Facility		$13.48	$23.72	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $23.52 / $4,071.00	Professional		$13.48	$23.52	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $35.45	Facility		$17.64	$17.64	$35.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.24 / $14.44	Professional		$7.41	$10.24	$14.44