Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $32.13 / $186.55	Facility		$14.45	$32.13	$186.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.02 / $14.45	Professional		$11.48	$13.02	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $74.51	Facility		$15.30	$15.30	$74.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $7.56 / $9.25	Professional		$7.56	$7.56	$9.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $69.30 / $103.74	Professional		$45.35	$69.30	$103.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $38.36 / $78.81	Facility		$10.69	$38.36	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.30 / $17.35	Professional		$8.67	$10.30	$17.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $19.13 / $22.64	Professional		$18.36	$19.13	$22.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $13.34 / $18.12	Facility		$12.83	$13.34	$18.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $25.00 / $42.27	Professional		$21.04	$25.00	$42.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $21.01 / $4,071.00	Facility		$11.90	$21.01	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $20.88 / $4,071.00	Professional		$11.90	$20.88	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.98 / $15.30	Professional		$6.43	$8.98	$15.30