Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $35.38 / $75.00	Facility		$14.68	$35.38	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.48 / $14.68	Professional		$11.29	$12.48	$14.68
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 Professional Modifier Low / Median / High Price $7.25 / $8.64 / $11.23	Professional		$7.25	$8.64	$11.23