Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $32.65 / $82.05	Facility		$12.90	$32.65	$82.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.99 / $16.25	Professional		$12.90	$14.99	$16.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $83.76	Facility		$17.20	$17.20	$83.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $10.40	Professional		$8.50	$8.50	$10.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $77.89 / $116.59	Professional		$50.96	$77.89	$116.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $44.12 / $88.90	Facility		$12.02	$44.12	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.63 / $19.82	Professional		$9.75	$11.63	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $21.50 / $25.46	Professional		$20.64	$21.50	$25.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $15.60 / $16.25	Facility		$14.42	$15.60	$16.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $28.00 / $44.24	Professional		$23.65	$28.00	$44.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $24.21 / $4,071.00	Facility		$13.38	$24.21	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $24.04 / $4,071.00	Professional		$13.38	$24.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.17 / $14.42	Professional		$7.22	$10.17	$14.42