Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $24.43 / $55.84	Facility		$12.16	$24.43	$55.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $11.49 / $12.16	Professional		$9.65	$11.49	$12.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $12.87 / $62.68	Facility		$12.87	$12.87	$62.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $7.78	Professional		$6.36	$6.36	$7.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $58.26 / $87.20	Professional		$38.11	$58.26	$87.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $30.64 / $65.40	Facility		$9.00	$30.64	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.64 / $14.87	Professional		$7.29	$8.64	$14.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $16.09 / $19.05	Professional		$15.44	$16.09	$19.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $11.66 / $15.22	Facility		$10.79	$11.66	$15.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $19.28 / $32.00	Professional		$4.90	$19.28	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $17.48 / $4,071.00	Facility		$10.01	$17.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $17.14 / $4,071.00	Professional		$10.01	$17.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.72 / $12.87	Professional		$5.41	$7.72	$12.87