Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $39.74 / $81.72	Facility		$17.80	$39.74	$81.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.38 / $17.80	Professional		$15.71	$17.38	$17.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $20.94 / $101.98	Facility		$20.94	$20.94	$101.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $12.66	Professional		$9.30	$9.30	$12.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $78.76 / $117.90	Professional		$51.54	$78.76	$117.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $46.62 / $100.01	Facility		$14.63	$46.62	$100.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.75 / $24.37	Professional		$10.68	$12.75	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $26.18 / $30.99	Professional		$25.13	$26.18	$30.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $22.66 / $22.66	Facility		$16.16	$22.66	$22.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.89 / $45.00	Professional		$17.50	$25.89	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $27.90 / $4,071.00	Facility		$14.66	$27.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $27.48 / $4,071.00	Professional		$14.66	$27.48	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $10.89 / $20.94	Professional		$8.78	$10.89	$20.94