Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $101.64 / $287.74	Facility		$19.75	$101.64	$287.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $26.60 / $28.10	Professional		$11.62	$26.60	$28.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $75.44	Facility		$15.49	$15.49	$75.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $9.36	Professional		$7.65	$7.65	$9.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $70.11 / $104.95	Professional		$45.88	$70.11	$104.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $40.04 / $78.81	Facility		$10.82	$40.04	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $10.47 / $17.76	Professional		$8.77	$10.47	$17.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.36 / $22.93	Professional		$18.59	$19.36	$22.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $13.50 / $18.32	Facility		$12.98	$13.50	$18.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $22.00 / $38.00	Professional		$16.27	$22.00	$38.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $21.64 / $4,071.00	Facility		$12.05	$21.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $21.64 / $4,071.00	Professional		$12.05	$21.64	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.14 / $15.49	Professional		$6.51	$9.14	$15.49