Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $59.20 / $129.16	Facility		$5.00	$59.20	$129.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $22.07 / $22.87	Professional		$19.52	$22.07	$22.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $132.26	Facility		$26.91	$26.91	$132.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $17.48	Professional		$10.76	$10.76	$17.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $41.98 / $116.78	Professional		$21.53	$41.98	$116.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $55.06 / $121.73	Facility		$31.48	$55.06	$121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.35 / $44.19	Professional		$12.68	$16.35	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $32.29 / $40.36	Professional		$26.91	$32.29	$40.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $37.67 / $74.81	Facility		$25.83	$37.67	$74.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $38.00 / $63.67	Professional		$27.83	$38.00	$63.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $30.14 / $4,071.00	Facility		$22.07	$30.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $30.14 / $7,420.00	Professional		$20.18	$30.14	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $24.49 / $44.06	Professional		$15.92	$24.49	$44.06