Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $79.52 / $155.38	Facility		$8.69	$79.52	$155.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.19 / $6.82	Professional		$5.12	$6.19	$6.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $6.82 / $33.21	Facility		$6.82	$6.82	$33.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $4.12	Professional		$3.37	$3.37	$4.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $30.84 / $46.17	Professional		$20.18	$30.84	$46.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $17.75 / $35.22	Facility		$4.76	$17.75	$35.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.65 / $7.85	Professional		$3.86	$4.65	$7.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.52 / $10.09	Professional		$8.18	$8.52	$10.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $6.18 / $6.43	Facility		$5.71	$6.18	$6.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $10.31 / $14.00	Professional		$5.63	$10.31	$14.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $9.59 / $4,071.00	Facility		$5.30	$9.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.52 / $4,071.00	Professional		$5.30	$9.52	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.09 / $5.71	Professional		$2.86	$4.09	$5.71