Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $28.51 / $53.77	Facility		$14.19	$28.51	$53.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.47 / $14.19	Professional		$11.27	$12.47	$14.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $73.15	Facility		$15.02	$15.02	$73.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $9.08	Professional		$7.42	$7.42	$9.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $52.62 / $78.76	Professional		$34.43	$52.62	$78.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $36.24 / $77.18	Facility		$10.50	$36.24	$77.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.14 / $16.93	Professional		$8.51	$10.14	$16.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $18.78 / $22.23	Professional		$18.02	$18.78	$22.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.25 / $24.18	Facility		$12.02	$16.25	$24.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $20.65 / $30.00	Professional		$11.26	$20.65	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $18.25 / $4,071.00	Facility		$11.68	$18.25	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $18.18 / $4,071.00	Professional		$11.68	$18.18	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.19 / $12.27	Professional		$6.31	$7.19	$12.27