Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $40.64 / $72.95	Facility		$18.28	$40.64	$72.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.55 / $18.38	Professional		$14.51	$17.55	$18.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $94.23	Facility		$19.35	$19.35	$94.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $11.70	Professional		$9.56	$9.56	$11.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $87.64 / $131.19	Professional		$57.35	$87.64	$131.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $50.05 / $98.99	Facility		$13.52	$50.05	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $12.96 / $22.30	Professional		$10.97	$12.96	$22.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $24.19 / $28.64	Professional		$23.22	$24.19	$28.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $17.55 / $22.92	Facility		$16.23	$17.55	$22.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $29.26 / $46.00	Professional		$18.71	$29.26	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $27.05 / $4,071.00	Facility		$15.06	$27.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $26.58 / $4,071.00	Professional		$15.06	$26.58	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.61 / $19.35	Professional		$8.13	$11.61	$19.35