Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $43.18 / $85.77	Facility		$19.34	$43.18	$85.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.34 / $24.76	Professional		$17.05	$19.34	$24.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $22.75 / $111.82	Facility		$22.75	$22.75	$111.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $15.91	Professional		$9.90	$9.90	$15.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.49 / $123.29	Professional		$18.20	$35.49	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $51.71 / $105.59	Facility		$26.62	$51.71	$105.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $15.42 / $41.60	Professional		$11.24	$15.42	$41.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $27.30 / $42.60	Professional		$22.75	$27.30	$42.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $35.79 / $57.18	Facility		$20.50	$35.79	$57.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $37.00 / $54.00	Professional		$23.60	$37.00	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $29.18 / $196.91	Facility		$20.70	$29.18	$196.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $29.06 / $4,071.00	Professional		$20.70	$29.06	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.41 / $30.97	Professional		$9.56	$12.41	$30.97