Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $78.20 / $177.68	Facility		$16.43	$78.20	$177.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.54 / $9.52	Professional		$6.06	$7.54	$9.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $42.13	Facility		$8.65	$8.65	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $5.23	Professional		$4.26	$4.26	$5.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $39.14 / $58.59	Professional		$25.61	$39.14	$58.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $22.20 / $43.63	Facility		$6.05	$22.20	$43.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.82 / $9.91	Professional		$4.90	$5.82	$9.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.81 / $12.80	Professional		$10.38	$10.81	$12.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.53 / $14.00	Facility		$7.25	$7.53	$14.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.07 / $23.00	Professional		$9.65	$13.07	$23.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $12.42 / $4,071.00	Facility		$6.73	$12.42	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $12.17 / $4,071.00	Professional		$6.73	$12.17	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.19 / $8.65	Professional		$3.63	$5.19	$8.65