Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $66.68 / $428.06	Facility		$13.55	$66.68	$428.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $19.80 / $20.62	Professional		$9.40	$19.80	$20.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $56.15	Facility		$12.05	$12.05	$56.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $7.29	Professional		$4.61	$4.61	$7.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $37.36 / $55.92	Professional		$24.44	$37.36	$55.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $26.71 / $62.07	Facility		$7.83	$26.71	$62.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $6.46 / $17.04	Professional		$0.12	$6.46	$17.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $15.06 / $17.82	Professional		$14.46	$15.06	$17.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $10.05 / $10.85	Facility		$9.64	$10.05	$10.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.64 / $24.21	Professional		$9.44	$9.64	$24.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $13.69 / $4,071.00	Facility		$8.07	$13.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $13.69 / $4,071.00	Professional		$8.07	$13.69	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.77 / $11.53	Professional		$4.84	$5.77	$11.53