Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $37.15	Facility		$12.02	$14.13	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $20.89	Professional		$10.96	$12.02	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $52.48	Professional		$25.12	$25.12	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $22.39	Facility		$14.45	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $38.90	Professional		$22.39	$30.20	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $41.69	Facility		$12.02	$18.62	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $37.15	Professional		$15.14	$18.20	$37.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $112.20	Facility		$15.14	$23.99	$112.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $112.20	Professional		$15.14	$23.99	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $57.54	Facility		$10.23	$14.79	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $23.44	Professional		$12.59	$14.13	$23.44