Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $39.04 / $169.60	Facility		$14.96	$39.04	$169.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.39 / $14.96	Professional		$11.88	$14.39	$14.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $15.84 / $77.14	Facility		$15.84	$15.84	$77.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $9.58	Professional		$7.82	$7.82	$9.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $71.73 / $107.38	Professional		$46.94	$71.73	$107.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $38.88 / $80.51	Facility		$11.07	$38.88	$80.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.64 / $18.17	Professional		$8.98	$10.64	$18.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $19.80 / $23.44	Professional		$19.01	$19.80	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $14.38 / $18.76	Facility		$13.28	$14.38	$18.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.00 / $42.27	Professional		$19.95	$26.00	$42.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $22.14 / $4,071.00	Facility		$12.32	$22.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $22.14 / $4,071.00	Professional		$12.32	$22.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $9.35 / $15.84	Professional		$6.65	$9.35	$15.84