Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $30.37 / $57.21	Facility		$13.60	$30.37	$57.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.28 / $13.60	Professional		$12.00	$13.28	$13.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $77.92	Facility		$16.00	$16.00	$77.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $9.68	Professional		$6.40	$6.40	$9.68
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 $11.18 / $34.75 / $72.73	Facility		$11.18	$34.75	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $9.60 / $18.17	Professional		$7.29	$9.60	$18.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $20.00 / $23.68	Professional		$19.20	$20.00	$23.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $20.95	Facility		$8.00	$8.00	$20.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.00 / $30.00	Professional		$10.72	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $19.37 / $4,071.00	Facility		$11.20	$19.37	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $19.00 / $4,071.00	Professional		$11.20	$19.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.00 / $10.40	Professional		$6.46	$8.00	$10.40