Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $29.38 / $173.40	Facility		$12.19	$29.38	$173.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $11.62 / $25.80	Professional		$9.68	$11.62	$25.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $12.90 / $62.82	Facility		$12.90	$12.90	$62.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $7.80	Professional		$6.37	$6.37	$7.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $58.42 / $87.45	Professional		$38.22	$58.42	$87.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $30.64 / $65.40	Facility		$9.02	$30.64	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $8.64 / $14.87	Professional		$7.31	$8.64	$14.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $16.13 / $19.09	Professional		$15.48	$16.13	$19.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $11.70 / $15.27	Facility		$10.82	$11.70	$15.27
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 $10.03 / $17.53 / $4,071.00	Facility		$10.03	$17.53	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $17.20 / $4,071.00	Professional		$10.03	$17.20	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $6.45 / $12.90	Facility		$4.51	$6.45	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.63 / $12.90	Professional		$5.42	$7.63	$12.90