Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $23.84 / $46.48	Facility		$11.87	$23.84	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $10.79 / $11.87	Professional		$9.42	$10.79	$11.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $12.56 / $61.17	Facility		$12.56	$12.56	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $7.59	Professional		$6.20	$6.20	$7.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $56.86 / $85.12	Professional		$37.21	$56.86	$85.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $30.01 / $63.76	Facility		$8.77	$30.01	$63.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.48 / $14.46	Professional		$7.12	$8.48	$14.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.70 / $18.59	Professional		$15.07	$15.70	$18.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.96 / $14.87	Facility		$10.53	$10.96	$14.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $19.00 / $32.00	Professional		$4.90	$19.00	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $17.27 / $4,071.00	Facility		$9.77	$17.27	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.25 / $4,071.00	Professional		$9.77	$17.25	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.43 / $17.55	Professional		$5.28	$7.43	$17.55