Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $32.06 / $130.19	Facility		$12.67	$32.06	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $13.85 / $14.36	Professional		$12.66	$13.85	$14.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $82.25	Facility		$16.89	$16.89	$82.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $10.21	Professional		$7.11	$7.11	$10.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $64.12 / $95.98	Professional		$41.95	$64.12	$95.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $37.31 / $83.06	Facility		$11.10	$37.31	$83.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.06 / $25.10	Professional		$8.51	$11.06	$25.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $21.11 / $25.00	Professional		$20.27	$21.11	$25.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $16.89	Facility		$12.30	$12.30	$16.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $19.75 / $23.00	Professional		$11.55	$19.75	$23.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $20.52 / $4,071.00	Facility		$12.33	$20.52	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $20.52 / $4,071.00	Professional		$12.33	$20.52	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $16.89 / $23.75	Facility		$10.13	$16.89	$23.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.44 / $11.87	Professional		$7.09	$8.44	$11.87