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 $4.90 / $4.90 / $14.45	Professional		$4.90	$4.90	$14.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $97.72	Professional		$41.69	$66.07	$97.72
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 $5.37 / $5.37 / $28.84	Facility		$5.37	$5.37	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $18.62	Professional		$5.37	$5.37	$18.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.18 / $10,000.00	Facility		$11.75	$28.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $28.18 / $10,000.00	Professional		$11.75	$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 / $19.95	Professional		$10.00	$12.30	$19.95