Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $42.67 / $69.23	Facility		$16.86	$42.67	$69.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.11 / $102.20	Professional		$16.86	$19.11	$102.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $22.48 / $109.48	Facility		$22.48	$22.48	$109.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $13.60	Professional		$8.99	$8.99	$13.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $75.81 / $113.49	Professional		$49.61	$75.81	$113.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $47.88 / $102.43	Facility		$15.71	$47.88	$102.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.58 / $25.61	Professional		$10.24	$13.58	$25.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $28.10 / $33.27	Professional		$26.98	$28.10	$33.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $20.23	Facility		$11.24	$11.24	$20.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $22.71 / $27.00	Professional		$5.80	$22.71	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $26.14 / $4,071.00	Facility		$16.41	$26.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $26.14 / $4,071.00	Professional		$16.41	$26.14	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.48 / $28.30	Facility		$13.49	$22.48	$28.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.15 / $22.71	Professional		$9.90	$14.15	$22.71