Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $31.89 / $59.51	Facility		$15.87	$31.89	$59.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $13.94 / $15.87	Professional		$12.60	$13.94	$15.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $81.81	Facility		$16.80	$16.80	$81.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $10.16	Professional		$8.30	$8.30	$10.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $56.47 / $84.54	Professional		$36.95	$56.47	$84.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $31.53 / $75.70	Facility		$11.74	$31.53	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.28 / $19.41	Professional		$8.15	$10.28	$19.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $21.00 / $24.86	Professional		$20.16	$21.00	$24.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $12.24 / $15.87	Facility		$10.70	$12.24	$15.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.00 / $31.74	Professional		$17.14	$23.00	$31.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $20.23 / $4,071.00	Facility		$13.07	$20.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $20.32 / $4,071.00	Professional		$13.07	$20.32	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $20.16 / $20.16	Facility		$20.16	$20.16	$20.16
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.72 / $15.75	Professional		$7.06	$7.72	$15.75