Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $51.73 / $191.22	Facility		$12.28	$51.73	$191.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.59 / $14.45	Professional		$11.22	$11.59	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $70.37	Facility		$14.45	$14.45	$70.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $8.74	Professional		$6.36	$6.36	$8.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $58.29 / $87.25	Professional		$38.14	$58.29	$87.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $33.71 / $68.06	Facility		$10.10	$33.71	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $8.84 / $16.93	Professional		$7.37	$8.84	$16.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $18.05 / $21.39	Professional		$17.34	$18.05	$21.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.67 / $12.46	Facility		$11.06	$11.67	$12.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $19.00 / $30.00	Professional		$11.63	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $18.86 / $4,071.00	Facility		$10.55	$18.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $18.96 / $4,071.00	Professional		$10.55	$18.96	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.34 / $17.34	Facility		$17.34	$17.34	$17.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.90 / $13.49	Professional		$6.07	$7.90	$13.49