Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $21.25 / $174.97	Facility		$8.92	$21.25	$174.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.02 / $8.92	Professional		$7.25	$8.02	$8.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $9.66 / $47.04	Facility		$9.66	$9.66	$47.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Professional		$4.66	$4.66	$4.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $42.70 / $63.92	Professional		$27.94	$42.70	$63.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $24.12 / $50.01	Facility		$6.75	$24.12	$50.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.32 / $11.15	Professional		$5.35	$6.32	$11.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $12.08 / $14.30	Professional		$11.59	$12.08	$14.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $15.28	Facility		$5.12	$5.12	$15.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $9.00 / $12.97	Professional		$5.53	$9.00	$12.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $11.47 / $4,071.00	Facility		$5.42	$11.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $11.69 / $4,071.00	Professional		$5.42	$11.69	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $9.66 / $16.21	Facility		$6.29	$9.66	$16.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.58 / $7.91	Professional		$4.05	$5.58	$7.91