Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $24.64 / $85.23	Facility		$12.27	$24.64	$85.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $11.04 / $12.27	Professional		$9.60	$11.04	$12.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $63.21	Facility		$12.98	$12.98	$63.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $7.77	Professional		$6.41	$6.41	$7.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $31.65 / $47.38	Professional		$20.71	$31.65	$47.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $30.64 / $67.09	Facility		$9.07	$30.64	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $8.66 / $14.87	Professional		$7.36	$8.66	$14.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.23 / $19.21	Professional		$15.58	$16.23	$19.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $11.78 / $12.27	Facility		$10.77	$11.78	$12.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $17.85 / $68.84	Professional		$11.54	$17.85	$68.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $16.94 / $4,071.00	Facility		$8.63	$16.94	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $16.94 / $4,071.00	Professional		$8.63	$16.94	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.84 / $8.66	Professional		$4.09	$5.84	$8.66