Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $97.72 / $263.03	Facility		$16.60	$97.72	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.14	Professional		$10.00	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Facility		$13.49	$13.49	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.47	Professional		$6.76	$6.76	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $95.50	Professional		$39.81	$63.10	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $34.67 / $60.26	Facility		$13.80	$34.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $15.85	Professional		$7.59	$9.12	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $19.95	Professional		$13.49	$16.22	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.91 / $26.30	Professional		$11.22	$22.91	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.75 / $12.88	Facility		$11.48	$11.75	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $28.18	Professional		$12.02	$13.49	$28.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $10,000.00	Facility		$12.02	$20.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $10,000.00	Professional		$12.02	$20.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $13.49 / $16.22	Facility		$5.75	$13.49	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $14.13	Professional		$5.75	$8.13	$14.13