Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $107.15	Facility		$19.95	$60.26	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $26.92	Professional		$18.20	$20.89	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $107.15	Facility		$26.92	$26.92	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $18.20	Professional		$10.96	$10.96	$18.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $123.03	Professional		$52.48	$83.18	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $63.10 / $123.03	Facility		$19.05	$63.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $31.62	Professional		$11.48	$13.80	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $39.81	Professional		$26.92	$32.36	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $26.92	Facility		$11.48	$11.48	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $57.54	Professional		$17.78	$17.78	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $32.36 / $10,000.00	Facility		$19.05	$32.36	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $10,000.00	Professional		$19.05	$32.36	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.92 / $32.36	Facility		$11.48	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $18.62	Professional		$10.23	$12.30	$18.62