Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $34.31 / $93.24	Facility		$12.26	$34.31	$93.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $13.56 / $15.43	Professional		$12.26	$13.56	$15.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.34 / $79.58	Facility		$16.34	$16.34	$79.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $9.88	Professional		$8.07	$8.07	$9.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $36.64 / $54.85	Professional		$23.98	$36.64	$54.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $39.32 / $83.89	Facility		$11.41	$39.32	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $10.97 / $19.00	Professional		$9.26	$10.97	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $20.43 / $24.18	Professional		$19.61	$20.43	$24.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $14.83 / $15.43	Facility		$13.56	$14.83	$15.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $23.85 / $32.00	Professional		$21.00	$23.85	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $19.85 / $4,071.00	Facility		$11.93	$19.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $19.78 / $4,071.00	Professional		$11.44	$19.78	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.79 / $22.83	Professional		$4.75	$7.79	$22.83