Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $46.61 / $75.64	Facility		$20.88	$46.61	$75.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $20.38 / $20.88	Professional		$18.42	$20.38	$20.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $24.56 / $119.61	Facility		$24.56	$24.56	$119.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $9.82 / $13.59	Professional		$9.82	$9.82	$13.59
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 $17.16 / $40.96 / $111.33	Facility		$17.16	$40.96	$111.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $12.53 / $28.08	Professional		$7.81	$12.53	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $30.70 / $36.35	Professional		$29.47	$30.70	$36.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $24.75	Facility		$17.89	$17.89	$24.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $19.00 / $30.00	Professional		$8.44	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $28.56 / $4,071.00	Facility		$16.42	$28.56	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $29.16 / $4,071.00	Professional		$15.96	$29.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.05 / $16.76	Professional		$6.46	$11.05	$16.76