Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $35.89 / $71.29	Facility		$14.18	$35.89	$71.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.70 / $17.86	Professional		$14.18	$15.70	$17.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $92.09	Facility		$18.91	$18.91	$92.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $11.44	Professional		$9.34	$9.34	$11.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $85.63 / $128.19	Professional		$56.03	$85.63	$128.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $45.03 / $97.30	Facility		$13.21	$45.03	$97.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.63 / $21.48	Professional		$10.72	$12.63	$21.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $23.64 / $27.99	Professional		$22.69	$23.64	$27.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $20.47 / $20.47	Facility		$15.86	$20.47	$20.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $26.00 / $45.00	Professional		$11.10	$26.00	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $25.20 / $4,071.00	Facility		$13.77	$25.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.81 / $4,071.00	Professional		$13.80	$24.81	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.18 / $18.91	Professional		$7.94	$11.18	$18.91