Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $33.20 / $96.05	Facility		$14.87	$33.20	$96.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $14.52 / $14.87	Professional		$13.12	$14.52	$14.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $85.18	Facility		$17.48	$17.48	$85.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $10.58	Professional		$7.00	$7.00	$10.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $43.32 / $64.84	Professional		$28.34	$43.32	$64.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $32.56 / $78.68	Facility		$12.22	$32.56	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $8.92 / $20.23	Professional		$6.29	$8.92	$20.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $21.86 / $25.89	Professional		$20.99	$21.86	$25.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $12.73 / $14.87	Facility		$8.49	$12.73	$14.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $14.48 / $25.00	Professional		$4.99	$14.48	$25.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $20.34 / $4,071.00	Facility		$12.24	$20.34	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $20.77 / $4,071.00	Professional		$12.24	$20.77	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.87 / $10.49	Professional		$5.62	$7.87	$10.49