Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $25.03 / $49.73	Facility		$12.45	$25.03	$49.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $12.45 / $23.76	Professional		$9.89	$12.45	$23.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $64.23	Facility		$13.19	$13.19	$64.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $7.97	Professional		$6.51	$6.51	$7.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $39.27 / $58.78	Professional		$25.69	$39.27	$58.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $31.68 / $67.09	Facility		$9.22	$31.68	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $8.81 / $15.28	Professional		$7.47	$8.81	$15.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $16.48 / $19.52	Professional		$15.83	$16.48	$19.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.96 / $15.62	Facility		$11.06	$11.96	$15.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $21.00 / $33.00	Professional		$18.13	$21.00	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $17.57 / $4,071.00	Facility		$10.26	$17.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $17.30 / $4,071.00	Professional		$10.26	$17.30	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $6.60 / $8.57	Facility		$4.62	$6.60	$8.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.27 / $10.82	Professional		$5.09	$7.27	$10.82