Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $68.08 / $112.05	Facility		$15.29	$68.08	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.46 / $11.98	Professional		$8.99	$10.46	$11.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $58.34	Facility		$11.98	$11.98	$58.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $7.24	Professional		$5.92	$5.92	$7.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.86 / $74.64	Professional		$32.63	$49.86	$74.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $30.63 / $62.07	Facility		$8.38	$30.63	$62.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $7.99 / $13.63	Professional		$6.79	$7.99	$13.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.98 / $17.73	Professional		$14.38	$14.98	$17.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $10.46 / $19.51	Facility		$10.06	$10.46	$19.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $20.46 / $30.00	Professional		$8.44	$20.46	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $15.96 / $4,071.00	Facility		$9.32	$15.96	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $15.72 / $4,071.00	Professional		$9.32	$15.72	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $24.54	Facility		$11.98	$11.98	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.83 / $11.54	Professional		$5.03	$6.83	$11.54