Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $30.94 / $50.20	Facility		$12.23	$30.94	$50.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.53 / $13.86	Professional		$12.23	$13.53	$13.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $79.38	Facility		$16.30	$16.30	$79.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $6.52 / $6.52	Professional		$6.52	$6.52	$6.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.19 / $13.77	Professional		$6.02	$9.19	$13.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $14.55 / $74.22	Facility		$8.76	$14.55	$74.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $8.31 / $18.59	Professional		$2.38	$8.31	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $20.38 / $24.12	Professional		$19.55	$20.38	$24.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $11.87 / $13.86	Facility		$3.22	$11.87	$13.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.97 / $7.00	Professional		$2.41	$4.97	$7.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $18.95 / $4,071.00	Facility		$3.65	$18.95	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $19.35 / $4,071.00	Professional		$3.54	$19.35	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $6.85 / $9.77	Professional		$1.19	$6.85	$9.77