Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $36.72 / $69.27	Facility		$18.28	$36.72	$69.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.28 / $18.28	Professional		$14.51	$17.28	$18.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $94.23	Facility		$19.35	$19.35	$94.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $11.70	Professional		$9.56	$9.56	$11.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $87.61 / $131.13	Professional		$57.32	$87.61	$131.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $47.52 / $98.99	Facility		$13.52	$47.52	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $12.96 / $22.30	Professional		$10.97	$12.96	$22.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $24.19 / $28.64	Professional		$23.22	$24.19	$28.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.54 / $18.28	Facility		$16.05	$17.54	$18.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $28.15 / $36.00	Professional		$19.00	$28.15	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $25.78 / $4,071.00	Facility		$15.05	$25.78	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $25.78 / $4,071.00	Professional		$15.05	$25.78	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.36 / $16.22	Professional		$8.13	$11.36	$16.22