Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $34.71 / $65.48	Facility		$15.55	$34.71	$65.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $15.55 / $18.05	Professional		$13.72	$15.55	$18.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $89.07	Facility		$18.29	$18.29	$89.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $7.32 / $10.95	Professional		$7.32	$7.32	$10.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $62.95 / $94.24	Professional		$41.19	$62.95	$94.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $39.77 / $83.13	Facility		$12.78	$39.77	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $9.61 / $19.13	Professional		$8.76	$9.61	$19.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $22.86 / $27.07	Professional		$21.95	$22.86	$27.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $14.81 / $21.95	Facility		$12.04	$14.81	$21.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.17 / $38.40	Professional		$11.89	$16.17	$38.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $22.14 / $4,071.00	Facility		$12.80	$22.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $22.14 / $4,071.00	Professional		$12.80	$22.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.48 / $11.89	Professional		$7.68	$8.48	$11.89