Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $25.72 / $51.08	Facility		$12.80	$25.72	$51.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.80 / $23.46	Professional		$10.16	$12.80	$23.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $13.55 / $65.98	Facility		$13.55	$13.55	$65.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $8.19	Professional		$6.69	$6.69	$8.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $61.37 / $91.86	Professional		$40.15	$61.37	$91.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $33.93 / $68.78	Facility		$9.47	$33.93	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.14 / $15.69	Professional		$7.68	$9.14	$15.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.94 / $20.05	Professional		$16.26	$16.94	$20.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.82 / $16.05	Facility		$11.36	$11.82	$16.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $22.00 / $42.27	Professional		$18.63	$22.00	$42.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $18.05 / $4,071.00	Facility		$10.54	$18.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $18.05 / $4,071.00	Professional		$10.54	$18.05	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.13 / $11.18	Professional		$5.69	$8.13	$11.18