Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $83.54 / $197.10	Facility		$16.78	$83.54	$197.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.55 / $7.52	Professional		$5.64	$6.55	$7.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $7.52 / $36.61	Facility		$7.52	$7.52	$36.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.54	Professional		$4.51	$4.51	$4.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $33.99 / $50.88	Professional		$22.24	$33.99	$50.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $19.73 / $38.56	Facility		$5.25	$19.73	$38.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.27 / $11.29	Professional		$4.26	$6.27	$11.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.40 / $11.13	Professional		$9.02	$9.40	$11.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.54 / $7.52	Facility		$6.29	$6.54	$7.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $11.36 / $16.00	Professional		$5.63	$11.36	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $10.57 / $170.55	Facility		$6.27	$10.57	$170.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $10.49 / $170.55	Professional		$6.27	$10.49	$170.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.51 / $6.29	Professional		$3.16	$4.51	$6.29