Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $14.45	Professional		$6.03	$6.03	$14.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $109.65	Professional		$45.71	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $46.77 / $69.18	Facility		$3.89	$46.77	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $45.71	Professional		$10.96	$23.99	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $35.48	Professional		$23.44	$33.88	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $28.84	Facility		$2.24	$2.24	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $8.13	Professional		$2.24	$2.24	$8.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.18 / $10,000.00	Facility		$13.80	$28.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $10,000.00	Professional		$13.80	$28.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.02 / $15.49	Facility		$8.32	$12.02	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $20.89	Professional		$10.00	$12.30	$20.89