Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $84.70 / $409.60	Facility		$15.41	$84.70	$409.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.08 / $34.54	Professional		$12.48	$23.08	$34.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $84.10	Facility		$17.27	$17.27	$84.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $10.44	Professional		$6.91	$6.91	$10.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $55.95 / $83.76	Professional		$36.61	$55.95	$83.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $38.25 / $88.90	Facility		$11.23	$38.25	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $9.67 / $24.78	Professional		$0.17	$9.67	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $21.59 / $25.56	Professional		$20.72	$21.59	$25.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $15.54	Facility		$12.58	$12.58	$15.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $14.16 / $36.27	Professional		$13.82	$14.16	$36.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $20.50 / $4,071.00	Facility		$12.09	$20.50	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.50 / $4,071.00	Professional		$12.09	$20.50	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $17.27 / $25.91	Facility		$15.54	$17.27	$25.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.77 / $11.23	Professional		$7.25	$7.77	$11.23