Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $22.40 / $147.03	Facility		$9.61	$22.40	$147.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.61 / $17.73	Professional		$7.64	$9.61	$17.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $10.18 / $49.58	Facility		$10.18	$10.18	$49.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.15	Professional		$5.01	$5.01	$6.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $46.07 / $68.97	Professional		$30.15	$46.07	$68.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $24.68 / $51.98	Facility		$7.11	$24.68	$51.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.81 / $11.73	Professional		$5.77	$6.81	$11.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.73 / $15.07	Professional		$12.22	$12.73	$15.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $11.02 / $12.05	Facility		$8.52	$11.02	$12.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.39 / $27.00	Professional		$4.90	$15.39	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $14.22 / $4,071.00	Facility		$7.92	$14.22	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $13.98 / $4,071.00	Professional		$7.92	$13.98	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $6.01 / $10.67	Professional		$4.28	$6.01	$10.67