Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $32.78 / $53.19	Facility		$14.68	$32.78	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $14.33 / $14.68	Professional		$12.95	$14.33	$14.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $84.10	Facility		$17.27	$17.27	$84.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $10.44	Professional		$6.91	$6.91	$10.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $47.17 / $70.62	Professional		$30.87	$47.17	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $32.17 / $78.68	Facility		$12.07	$32.17	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $8.81 / $19.82	Professional		$6.79	$8.81	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $21.59 / $25.56	Professional		$20.72	$21.59	$25.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $12.58 / $14.68	Facility		$9.25	$12.58	$14.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $19.00 / $28.16	Professional		$14.33	$19.00	$28.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $20.07 / $4,071.00	Facility		$12.09	$20.07	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.50 / $4,071.00	Professional		$12.09	$20.50	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.55 / $14.56	Professional		$6.12	$8.55	$14.56