Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $64.72 / $95.04	Facility		$20.67	$64.72	$95.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $14.29 / $27.85	Professional		$12.61	$14.29	$27.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $81.86	Facility		$16.80	$16.80	$81.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $10.17	Professional		$6.72	$6.72	$10.17
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 $11.74 / $31.53 / $75.70	Facility		$11.74	$31.53	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.09 / $23.99	Professional		$7.66	$10.09	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.01 / $24.88	Professional		$20.17	$21.01	$24.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $15.98	Facility		$12.25	$12.25	$15.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $15.98 / $30.00	Professional		$8.44	$15.98	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $19.11 / $116.56	Facility		$11.77	$19.11	$116.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $19.55 / $4,071.00	Professional		$11.90	$19.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.03 / $10.93	Professional		$6.46	$8.03	$10.93