Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $51.38 / $83.38	Facility		$20.30	$51.38	$83.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $22.20 / $23.01	Professional		$20.30	$22.20	$23.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $131.83	Facility		$27.07	$27.07	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $14.02	Professional		$10.83	$10.83	$14.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.97 / $58.35	Professional		$25.50	$38.97	$58.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $34.11 / $123.21	Facility		$17.60	$34.11	$123.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $13.80 / $31.39	Professional		$5.61	$13.80	$31.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $33.84 / $40.06	Professional		$32.47	$33.84	$40.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $19.72 / $23.01	Facility		$16.14	$19.72	$23.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $14.00 / $23.00	Professional		$8.03	$14.00	$23.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $31.48 / $4,071.00	Facility		$13.02	$31.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $32.14 / $4,071.00	Professional		$13.02	$32.14	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $11.37 / $16.23	Professional		$5.05	$11.37	$16.23