Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $31.96 / $63.49	Facility		$15.90	$31.96	$63.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $13.98 / $20.79	Professional		$12.63	$13.98	$20.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $82.01	Facility		$16.84	$16.84	$82.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.18	Professional		$8.32	$8.32	$10.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $76.20 / $114.07	Professional		$49.86	$76.20	$114.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $43.97 / $85.52	Facility		$11.77	$43.97	$85.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.30 / $19.41	Professional		$9.55	$11.30	$19.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $21.05 / $24.92	Professional		$20.21	$21.05	$24.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $27.14	Facility		$8.93	$8.93	$27.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $31.00 / $41.00	Professional		$23.14	$31.00	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $23.05 / $4,071.00	Facility		$13.10	$23.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $22.45 / $4,071.00	Professional		$13.10	$22.45	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $9.94 / $16.84	Professional		$7.07	$9.94	$16.84