Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $26.73 / $101.70	Facility		$10.24	$26.73	$101.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.24 / $28.30	Professional		$10.00	$10.24	$28.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $75.58	Facility		$37.72	$37.72	$75.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $12.05	Professional		$4.82	$4.82	$12.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $39.04 / $58.44	Professional		$25.55	$39.04	$58.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $83.00 / $192.92	Facility		$8.42	$83.00	$192.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $15.72 / $54.21	Professional		$0.37	$15.72	$54.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $47.16 / $55.84	Professional		$45.28	$47.16	$55.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $23.50	Facility		$10.50	$10.50	$23.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $25.31 / $30.18	Professional		$9.88	$25.31	$30.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $16.05 / $4,071.00	Facility		$8.80	$16.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $16.05 / $4,071.00	Professional		$8.80	$16.05	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.03 / $17.23	Professional		$5.05	$6.03	$17.23