Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $21.00 / $124.67	Facility		$5.26	$21.00	$124.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.62 / $5.57	Professional		$4.18	$4.62	$5.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $27.13	Facility		$5.57	$5.57	$27.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.36	Professional		$2.75	$2.75	$3.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $25.27 / $37.83	Professional		$16.54	$25.27	$37.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $14.55 / $28.53	Facility		$3.90	$14.55	$28.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.82 / $6.20	Professional		$3.15	$3.82	$6.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.96 / $8.24	Professional		$6.68	$6.96	$8.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.88 / $5.26	Facility		$4.68	$4.88	$5.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $9.00 / $12.00	Professional		$7.67	$9.00	$12.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $7.64 / $4,071.00	Facility		$4.33	$7.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $7.42 / $4,071.00	Professional		$4.33	$7.42	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.34 / $4.68	Professional		$2.34	$3.34	$4.68