Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $97.72	Facility		$16.22	$32.36	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $16.98	Professional		$10.00	$10.96	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $61.66	Facility		$15.14	$15.14	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $10.23	Professional		$6.17	$6.17	$10.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $81.28	Professional		$33.88	$53.70	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $69.18	Facility		$15.49	$30.20	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $17.38	Professional		$6.92	$8.71	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $22.39	Professional		$15.14	$18.20	$22.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $22.39	Professional		$9.55	$19.05	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.22 / $12.88	Facility		$10.00	$11.22	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $32.36	Professional		$10.00	$11.22	$32.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $10,000.00	Facility		$12.30	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $10,000.00	Professional		$12.30	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.14 / $18.20	Facility		$6.46	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.08 / $12.02	Professional		$6.46	$7.08	$12.02