Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $56.23 / $151.36	Facility		$19.05	$56.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $31.62	Professional		$18.20	$19.95	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $102.33	Facility		$25.70	$25.70	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $19.50	Professional		$12.59	$12.59	$19.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $177.83	Professional		$75.86	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $114.82	Facility		$25.70	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $29.51	Professional		$14.45	$16.98	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $38.02	Professional		$25.70	$30.90	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $42.66 / $50.12	Professional		$7.08	$42.66	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $23.99	Facility		$21.88	$22.91	$23.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $53.70	Professional		$21.88	$30.20	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $35.48 / $10,000.00	Facility		$21.38	$35.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $10,000.00	Professional		$19.95	$35.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.70 / $30.90	Facility		$10.72	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $26.92	Professional		$10.72	$15.14	$26.92