Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $37.59 / $67.48	Facility		$16.55	$37.59	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $14.86 / $16.55	Professional		$13.43	$14.86	$16.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $87.17	Facility		$17.89	$17.89	$87.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $10.82	Professional		$8.66	$8.66	$10.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $79.28 / $118.68	Professional		$51.88	$79.28	$118.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $45.75 / $92.28	Facility		$12.51	$45.75	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.80 / $20.65	Professional		$9.93	$11.80	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.38 / $26.49	Professional		$21.48	$22.38	$26.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $15.88 / $16.55	Facility		$14.68	$15.88	$16.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $26.49 / $42.00	Professional		$10.90	$26.49	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $24.43 / $4,071.00	Facility		$13.63	$24.43	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $23.86 / $4,071.00	Professional		$13.63	$23.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.56 / $17.89	Professional		$7.52	$10.56	$17.89