Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $63.78	Facility		$0.03	$0.03	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.33 / $21.05	Professional		$11.73	$13.33	$21.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $202.20 / $255.35	Facility		$157.69	$202.20	$255.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $66.55 / $99.62	Professional		$43.54	$66.55	$99.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $50.65 / $163.29	Facility		$1.85	$50.65	$163.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $22.13 / $33.36	Professional		$8.61	$22.13	$33.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $51.81 / $53.02	Professional		$50.90	$51.81	$53.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $13.33 / $13.33	Facility		$12.62	$13.33	$13.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $22.22 / $36.00	Professional		$8.19	$22.22	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $46.68 / $4,071.00	Facility		$16.82	$46.68	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $48.06 / $4,071.00	Professional		$16.80	$48.06	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $37.36 / $43.31	Facility		$18.48	$37.36	$43.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $19.30 / $25.75	Professional		$8.63	$19.30	$25.75