Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $49.35 / $77.02	Facility		$19.66	$49.35	$77.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $17.27 / $19.66	Professional		$15.61	$17.27	$19.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $101.34	Facility		$20.81	$20.81	$101.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $12.59	Professional		$10.28	$10.28	$12.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $95.51 / $142.97	Professional		$62.50	$95.51	$142.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $53.04 / $107.34	Facility		$14.54	$53.04	$107.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $14.61 / $23.95	Professional		$11.80	$14.61	$23.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $26.01 / $30.80	Professional		$24.97	$26.01	$30.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $18.87 / $20.81	Facility		$18.73	$18.87	$20.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $28.61 / $34.00	Professional		$9.18	$28.61	$34.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $28.41 / $4,071.00	Facility		$16.19	$28.41	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $28.41 / $4,071.00	Professional		$16.19	$28.41	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $17.89	Professional		$8.74	$12.49	$17.89