Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $38.65 / $62.74	Facility		$15.28	$38.65	$62.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.91 / $17.30	Professional		$15.28	$16.91	$17.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $20.37 / $99.20	Facility		$20.37	$20.37	$99.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.55	Professional		$8.15	$8.15	$10.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $20.57 / $30.80	Professional		$13.46	$20.57	$30.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $18.30 / $92.04	Facility		$10.63	$18.30	$92.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $10.39 / $23.54	Professional		$2.99	$10.39	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $25.46 / $30.15	Professional		$24.44	$25.46	$30.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $14.84 / $17.30	Facility		$4.04	$14.84	$17.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.25 / $10.00	Professional		$4.26	$6.25	$10.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $23.69 / $4,071.00	Facility		$6.88	$23.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $24.19 / $4,071.00	Professional		$6.88	$24.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $8.56 / $12.22	Professional		$2.67	$8.56	$12.22