Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.57 / $67.45	Facility		$18.62	$41.57	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $18.18 / $18.62	Professional		$16.43	$18.18	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $106.65	Facility		$21.90	$21.90	$106.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $12.10	Professional		$8.76	$8.76	$12.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $79.87 / $119.55	Professional		$52.26	$79.87	$119.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $43.67 / $99.46	Facility		$15.30	$43.67	$99.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.37 / $25.19	Professional		$10.49	$13.37	$25.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $27.38 / $32.40	Professional		$26.28	$27.38	$32.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $28.42	Facility		$15.95	$15.95	$28.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $24.25 / $33.00	Professional		$17.16	$24.25	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $25.47 / $4,071.00	Facility		$15.31	$25.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $26.00 / $4,071.00	Professional		$15.02	$26.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.95 / $14.79	Professional		$9.19	$10.95	$14.79