Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $33.58 / $66.69	Facility		$16.71	$33.58	$66.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $14.68 / $16.71	Professional		$13.27	$14.68	$16.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $86.15	Facility		$17.69	$17.69	$86.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $10.70	Professional		$8.74	$8.74	$10.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $80.09 / $119.89	Professional		$52.41	$80.09	$119.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $46.70 / $90.59	Facility		$12.36	$46.70	$90.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $11.80 / $20.65	Professional		$10.02	$11.80	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $22.11 / $26.18	Professional		$21.23	$22.11	$26.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $19.14 / $19.14	Facility		$14.83	$19.14	$19.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $33.00 / $42.00	Professional		$24.32	$33.00	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $24.23 / $4,071.00	Facility		$13.76	$24.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $23.58 / $4,071.00	Professional		$13.76	$23.58	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.46 / $14.83	Professional		$7.43	$10.46	$14.83