Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $89.54 / $175.91	Facility		$15.35	$89.54	$175.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $14.17 / $15.35	Professional		$12.19	$14.17	$15.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $79.19	Facility		$16.26	$16.26	$79.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $9.83	Professional		$8.02	$8.02	$9.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $73.61 / $110.19	Professional		$48.17	$73.61	$110.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $42.64 / $83.89	Facility		$11.36	$42.64	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.97 / $18.59	Professional		$9.21	$10.97	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $20.32 / $24.06	Professional		$19.51	$20.32	$24.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $14.17 / $15.35	Facility		$13.63	$14.17	$15.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $24.59 / $39.00	Professional		$17.50	$24.59	$39.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $22.33 / $4,071.00	Facility		$12.64	$22.33	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $22.19 / $4,071.00	Professional		$12.64	$22.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.76 / $15.75	Professional		$6.83	$9.76	$15.75