Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $67.61	Facility		$19.95	$51.29	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $25.70	Professional		$18.20	$19.95	$25.70
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 $57.54 / $91.20 / $138.04	Professional		$57.54	$91.20	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $52.48 / $138.04	Facility		$17.78	$52.48	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $38.90	Professional		$12.30	$15.14	$38.90
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 $13.49 / $13.49 / $22.91	Facility		$13.49	$13.49	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $57.54	Professional		$22.39	$22.39	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $10,000.00	Facility		$19.50	$32.36	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $10,000.00	Professional		$19.05	$33.11	$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 $11.48 / $12.30 / $20.42	Professional		$11.48	$12.30	$20.42