Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $48.15	Facility		$15.00	$15.00	$48.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $787.20	Professional		$13.33	$15.00	$787.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.80 / $18.29	Professional		$10.30	$13.80	$18.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $24.46 / $42.07	Professional		$22.01	$24.46	$42.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.00 / $34.90	Professional		$10.00	$16.00	$34.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $33.42 / $44.18	Professional		$18.00	$33.42	$44.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $15.00 / $35.83	Facility		$13.33	$15.00	$35.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $57.00 / $78.34	Professional		$43.00	$57.00	$78.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $47.97 / $87,437.70	Facility		$32.61	$47.97	$87,437.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $47.97 / $87,437.70	Professional		$32.61	$47.97	$87,437.70
United Facility/Professional Facility Modifier Low / Median / High Price $572.50 / $572.50 / $572.50	Facility		$572.50	$572.50	$572.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $40.11 / $68.34	Professional		$26.81	$40.11	$68.34