Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $41.34 / $67.08	Facility		$16.34	$41.34	$67.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $18.07 / $18.51	Professional		$16.34	$18.07	$18.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $21.78 / $106.07	Facility		$21.78	$21.78	$106.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $13.04	Professional		$8.71	$8.71	$13.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $73.26 / $109.66	Professional		$47.93	$73.26	$109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $46.28 / $99.46	Facility		$15.22	$46.28	$99.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.16 / $24.78	Professional		$9.93	$13.16	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $27.23 / $32.22	Professional		$26.14	$27.23	$32.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $21.78	Facility		$10.89	$10.89	$21.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $21.95 / $26.00	Professional		$14.16	$21.95	$26.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $25.86 / $4,071.00	Facility		$15.80	$25.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $25.86 / $4,071.00	Professional		$15.80	$25.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.89 / $16.96	Professional		$9.15	$10.89	$16.96