Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $43.39 / $203.94	Facility		$16.67	$43.39	$203.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.88 / $16.67	Professional		$13.24	$15.88	$16.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $85.96	Facility		$17.64	$17.64	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $10.67	Professional		$8.72	$8.72	$10.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $79.90 / $119.60	Professional		$52.28	$79.90	$119.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $43.17 / $90.59	Facility		$12.33	$43.17	$90.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.80 / $20.65	Professional		$10.00	$11.80	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $22.06 / $26.12	Professional		$21.18	$22.06	$26.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $16.00 / $16.67	Facility		$14.80	$16.00	$16.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $29.00 / $42.00	Professional		$24.26	$29.00	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $24.66 / $4,071.00	Facility		$13.73	$24.66	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $24.24 / $4,071.00	Professional		$13.73	$24.24	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $17.64 / $30.34	Facility		$11.77	$17.64	$30.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.41 / $17.64	Professional		$7.41	$10.41	$17.64