Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $69.80 / $253.54	Facility		$15.20	$69.80	$253.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.89 / $27.58	Professional		$11.49	$13.89	$27.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $74.61	Facility		$15.32	$15.32	$74.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $9.26	Professional		$7.57	$7.57	$9.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $69.37 / $103.84	Professional		$45.39	$69.37	$103.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $39.11 / $78.81	Facility		$10.70	$39.11	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.30 / $17.35	Professional		$8.69	$10.30	$17.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $19.14 / $22.67	Professional		$18.38	$19.14	$22.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $13.90 / $14.48	Facility		$12.85	$13.90	$14.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.00 / $43.76	Professional		$19.64	$25.00	$43.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $21.51 / $4,071.00	Facility		$11.92	$21.51	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $21.41 / $4,071.00	Professional		$11.92	$21.41	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.19 / $15.32	Professional		$6.43	$9.19	$15.32