Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $38.76 / $149.69	Facility		$12.20	$38.76	$149.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.63 / $12.20	Professional		$9.69	$11.63	$12.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $12.92 / $62.92	Facility		$12.92	$12.92	$62.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $7.81	Professional		$6.38	$6.38	$7.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $58.45 / $87.49	Professional		$38.24	$58.45	$87.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $33.93 / $65.40	Facility		$9.02	$33.93	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $9.93 / $19.00	Professional		$7.32	$9.93	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $16.14 / $19.12	Professional		$15.50	$16.14	$19.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $11.70 / $12.20	Facility		$10.82	$11.70	$12.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $19.53 / $32.00	Professional		$16.21	$19.53	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $18.17 / $4,071.00	Facility		$10.05	$18.17	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $18.04 / $4,071.00	Professional		$10.05	$18.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $7.75 / $13.53	Professional		$5.43	$7.75	$13.53