Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $77.70 / $165.91	Facility		$17.98	$77.70	$165.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.05 / $17.98	Professional		$13.49	$16.05	$17.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $87.56	Facility		$17.98	$17.98	$87.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $10.87	Professional		$8.88	$8.88	$10.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $82.49 / $123.48	Professional		$53.97	$82.49	$123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $45.99 / $92.28	Facility		$12.57	$45.99	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $12.13 / $20.65	Professional		$10.18	$12.13	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $22.48 / $26.61	Professional		$21.58	$22.48	$26.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $16.29 / $26.83	Facility		$14.91	$16.29	$26.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $27.18 / $35.00	Professional		$17.57	$27.18	$35.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $21.85 / $4,071.00	Facility		$13.98	$21.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.77 / $4,071.00	Professional		$13.98	$21.77	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.55 / $15.07	Professional		$7.55	$10.55	$15.07