Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $39.75 / $71.37	Facility		$17.88	$39.75	$71.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $15.52 / $17.88	Professional		$14.20	$15.52	$17.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $18.93 / $92.19	Facility		$18.93	$18.93	$92.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $11.45	Professional		$9.35	$9.35	$11.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $85.73 / $128.33	Professional		$56.10	$85.73	$128.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $49.00 / $97.30	Facility		$13.23	$49.00	$97.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.80 / $21.89	Professional		$10.73	$12.80	$21.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $23.66 / $28.02	Professional		$22.72	$23.66	$28.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $17.88	Facility		$10.02	$10.02	$17.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $31.00 / $64.34	Professional		$26.03	$31.00	$64.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $26.00 / $4,071.00	Facility		$14.73	$26.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $25.84 / $4,071.00	Professional		$14.73	$25.84	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $11.36 / $15.88	Professional		$7.95	$11.36	$15.88