Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $24.29 / $48.26	Facility		$12.09	$24.29	$48.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.62 / $12.09	Professional		$9.60	$10.62	$12.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $62.34	Facility		$12.80	$12.80	$62.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $7.74	Professional		$6.32	$6.32	$7.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $57.96 / $86.77	Professional		$37.93	$57.96	$86.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $33.52 / $65.40	Facility		$8.94	$33.52	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.64 / $14.87	Professional		$7.25	$8.64	$14.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $16.00 / $18.94	Professional		$15.36	$16.00	$18.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $11.16 / $12.09	Facility		$10.73	$11.16	$12.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $21.00 / $32.00	Professional		$17.60	$21.00	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.57 / $4,071.00	Facility		$9.94	$17.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $17.47 / $4,071.00	Professional		$9.94	$17.47	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Facility		$5.38	$5.38	$5.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.57 / $11.55	Professional		$5.38	$7.57	$11.55