Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $38.38 / $76.23	Facility		$19.10	$38.38	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $16.78 / $19.10	Professional		$15.17	$16.78	$19.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $98.47	Facility		$20.22	$20.22	$98.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $12.23	Professional		$9.99	$9.99	$12.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $91.50 / $136.96	Professional		$59.87	$91.50	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $52.98 / $104.01	Facility		$14.13	$52.98	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $13.63 / $23.54	Professional		$11.46	$13.63	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $25.28 / $29.93	Professional		$24.26	$25.28	$29.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $18.32 / $19.10	Facility		$16.94	$18.32	$19.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $30.57 / $48.00	Professional		$24.13	$30.57	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $27.68 / $4,071.00	Facility		$15.73	$27.68	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $26.95 / $4,071.00	Professional		$15.73	$26.95	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.13 / $16.94	Professional		$8.49	$12.13	$16.94