Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $28.47 / $56.55	Facility		$12.75	$28.47	$56.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $12.45 / $12.75	Professional		$11.25	$12.45	$12.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $73.05	Facility		$15.00	$15.00	$73.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $9.07	Professional		$6.51	$6.51	$9.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $59.71 / $89.39	Professional		$39.07	$59.71	$89.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $32.28 / $69.45	Facility		$10.49	$32.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.05 / $16.93	Professional		$7.65	$9.05	$16.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.75 / $22.20	Professional		$18.00	$18.75	$22.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $16.23 / $16.23	Facility		$11.06	$16.23	$16.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $18.13 / $33.00	Professional		$4.90	$18.13	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $19.14 / $4,071.00	Facility		$10.95	$19.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $18.55 / $4,071.00	Professional		$10.50	$18.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.80 / $15.00	Professional		$6.30	$7.80	$15.00