Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $76.75 / $104.73	Facility		$13.81	$76.75	$104.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.02 / $11.26	Professional		$8.32	$10.02	$11.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.26 / $54.84	Facility		$11.26	$11.26	$54.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $6.81	Professional		$5.56	$5.56	$6.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $50.97 / $76.29	Professional		$33.35	$50.97	$76.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $29.15 / $57.05	Facility		$7.86	$29.15	$57.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.51 / $13.22	Professional		$6.38	$7.51	$13.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $14.08 / $16.66	Professional		$13.51	$14.08	$16.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $10.19 / $13.32	Facility		$9.44	$10.19	$13.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.02 / $29.00	Professional		$10.85	$17.02	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $16.32 / $4,071.00	Facility		$8.76	$16.32	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $15.84 / $4,071.00	Professional		$8.76	$15.84	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.76 / $10.50	Professional		$4.73	$6.76	$10.50