Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $26.67 / $52.97	Facility		$13.27	$26.67	$52.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.77 / $13.27	Professional		$10.54	$11.77	$13.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $68.42	Facility		$14.05	$14.05	$68.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $8.50	Professional		$6.94	$6.94	$8.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $48.37 / $72.41	Professional		$31.65	$48.37	$72.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $35.44 / $72.11	Facility		$9.81	$35.44	$72.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.47 / $16.11	Professional		$7.96	$9.47	$16.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.55 / $20.79	Professional		$16.86	$17.55	$20.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $12.25 / $14.55	Facility		$11.65	$12.25	$14.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $21.23 / $34.00	Professional		$18.73	$21.23	$34.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $19.30 / $4,071.00	Facility		$10.93	$19.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $19.18 / $4,071.00	Professional		$10.93	$19.18	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $7.80 / $10.50	Professional		$5.90	$7.80	$10.50