Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $36.67 / $72.84	Facility		$14.49	$36.67	$72.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $16.04 / $17.86	Professional		$14.49	$16.04	$17.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $94.09	Facility		$19.32	$19.32	$94.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $11.57	Professional		$9.34	$9.34	$11.57
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 $12.56 / $45.03 / $98.99	Facility		$12.56	$45.03	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.63 / $22.30	Professional		$10.72	$12.63	$22.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $24.15 / $28.59	Professional		$23.18	$24.15	$28.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $20.90 / $20.90	Facility		$15.86	$20.90	$20.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $26.00 / $45.00	Professional		$5.54	$26.00	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $25.74 / $4,071.00	Facility		$13.52	$25.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $25.35 / $4,071.00	Professional		$14.10	$25.35	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $15.86	Professional		$8.11	$11.59	$15.86