Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $25.20 / $8,063.64	Facility		$12.07	$25.20	$8,063.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.67 / $21.48	Professional		$12.07	$12.67	$21.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $25.47 / $41.04	Facility		$12.07	$25.47	$41.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $17.36 / $26.19	Professional		$15.25	$17.36	$26.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $12.07	Facility		$11.39	$11.39	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.48 / $14.96	Professional		$10.26	$14.48	$14.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $16.07	Facility		$12.07	$12.07	$16.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $12.07 / $15.45	Facility		$11.47	$12.07	$15.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $12.07 / $15.45	Professional		$11.47	$12.07	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.07 / $14.96	Professional		$11.88	$12.07	$14.96