Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $80.27 / $195.01	Facility		$18.54	$80.27	$195.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $17.66 / $18.54	Professional		$14.72	$17.66	$18.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $95.60	Facility		$19.63	$19.63	$95.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $11.87	Professional		$9.69	$9.69	$11.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $90.07 / $134.83	Professional		$58.94	$90.07	$134.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $51.77 / $100.63	Facility		$13.72	$51.77	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $13.13 / $22.72	Professional		$11.13	$13.13	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $24.54 / $29.05	Professional		$23.56	$24.54	$29.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $17.79 / $18.54	Facility		$16.45	$17.79	$18.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $29.68 / $47.00	Professional		$6.61	$29.68	$47.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $26.16 / $4,071.00	Facility		$15.27	$26.16	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $26.16 / $4,071.00	Professional		$15.27	$26.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.78 / $16.19	Professional		$8.24	$11.78	$16.19