Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $31.27 / $49.62	Facility		$12.04	$31.27	$49.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.04 / $20.64	Professional		$10.62	$12.04	$20.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $68.95	Facility		$14.16	$14.16	$68.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $8.56	Professional		$5.66	$5.66	$8.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $47.08 / $70.47	Professional		$30.80	$47.08	$70.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $26.49 / $63.83	Facility		$9.89	$26.49	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.50 / $16.52	Professional		$6.45	$8.50	$16.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.70 / $20.96	Professional		$16.98	$17.70	$20.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $12.31	Facility		$10.31	$10.31	$12.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $15.73 / $27.00	Professional		$9.46	$15.73	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $16.80 / $4,071.00	Facility		$10.34	$16.80	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $16.80 / $4,071.00	Professional		$9.91	$16.80	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $14.16 / $17.88	Facility		$8.50	$14.16	$17.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $6.44 / $9.19	Professional		$5.95	$6.44	$9.19