Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $38.76 / $97.37	Facility		$15.32	$38.76	$97.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.37 / $19.29	Professional		$15.32	$18.37	$19.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $99.45	Facility		$20.42	$20.42	$99.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $12.35	Professional		$10.08	$10.08	$12.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $92.44 / $138.37	Professional		$60.48	$92.44	$138.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $50.43 / $104.01	Facility		$14.27	$50.43	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.63 / $23.54	Professional		$11.57	$13.63	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $25.53 / $30.22	Professional		$24.50	$25.53	$30.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $18.51 / $19.29	Facility		$17.12	$18.51	$19.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $30.87 / $48.00	Professional		$26.83	$30.87	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $28.73 / $4,071.00	Facility		$15.88	$28.73	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $28.53 / $4,071.00	Professional		$15.88	$28.53	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $10.21 / $20.42	Facility		$7.15	$10.21	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.07 / $20.42	Professional		$8.58	$12.07	$20.42