Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $30.06 / $92.96	Facility		$12.23	$30.06	$92.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.55 / $12.23	Professional		$9.71	$11.55	$12.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $63.07	Facility		$12.95	$12.95	$63.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $7.83	Professional		$6.39	$6.39	$7.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $58.61 / $87.74	Professional		$38.35	$58.61	$87.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $33.52 / $67.09	Facility		$9.05	$33.52	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $8.64 / $14.87	Professional		$7.34	$8.64	$14.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $16.19 / $19.17	Professional		$15.54	$16.19	$19.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $11.75 / $12.23	Facility		$10.85	$11.75	$12.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.14 / $32.00	Professional		$14.78	$19.14	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $18.23 / $4,071.00	Facility		$10.07	$18.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $18.09 / $4,071.00	Professional		$10.07	$18.09	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.66 / $11.55	Professional		$5.44	$7.66	$11.55