Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $41.80 / $204.16	Facility		$17.71	$41.80	$204.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $16.11 / $17.71	Professional		$14.06	$16.11	$17.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $18.75 / $91.31	Facility		$18.75	$18.75	$91.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $11.34	Professional		$9.26	$9.26	$11.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $65.70 / $98.36	Professional		$42.99	$65.70	$98.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $48.24 / $95.61	Facility		$13.10	$48.24	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.63 / $21.48	Professional		$10.63	$12.63	$21.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.44 / $27.75	Professional		$22.50	$23.44	$27.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $16.36 / $17.71	Facility		$15.73	$16.36	$17.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $30.00 / $45.00	Professional		$25.78	$30.00	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $24.99 / $4,071.00	Facility		$14.58	$24.99	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $24.98 / $4,071.00	Professional		$14.58	$24.98	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.60 / $15.34	Professional		$7.88	$10.60	$15.34