Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $40.36 / $65.51	Facility		$18.07	$40.36	$65.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $17.64 / $18.07	Professional		$15.95	$17.64	$18.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $103.58	Facility		$21.27	$21.27	$103.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $12.86	Professional		$9.44	$9.44	$12.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $86.61 / $129.63	Professional		$56.67	$86.61	$129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $48.47 / $101.40	Facility		$14.86	$48.47	$101.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.96 / $24.37	Professional		$10.85	$12.96	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $26.59 / $31.48	Professional		$25.52	$26.59	$31.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $23.01 / $23.01	Facility		$16.42	$23.01	$23.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $32.17 / $35.00	Professional		$21.00	$32.17	$35.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $25.75 / $4,071.00	Facility		$15.15	$25.75	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $25.84 / $4,071.00	Professional		$14.89	$25.84	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Facility		$8.93	$8.93	$8.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.23 / $15.62	Professional		$8.93	$11.23	$15.62