Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $26.72 / $52.54	Facility		$14.50	$26.72	$52.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $12.80 / $14.50	Professional		$10.53	$12.80	$14.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $83.08	Facility		$17.05	$17.05	$83.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $10.32	Professional		$6.82	$6.82	$10.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $52.49 / $78.56	Professional		$34.34	$52.49	$78.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $31.53 / $77.19	Facility		$11.92	$31.53	$77.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.51 / $19.82	Professional		$7.64	$9.51	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $21.33 / $25.25	Professional		$20.47	$21.33	$25.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $12.42 / $15.35	Facility		$9.94	$12.42	$15.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $17.55 / $29.00	Professional		$13.60	$17.55	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $19.84 / $4,071.00	Facility		$11.94	$19.84	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $20.26 / $4,071.00	Professional		$11.94	$20.26	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Facility		$20.47	$20.47	$20.47
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.52 / $12.15	Professional		$6.80	$8.52	$12.15