Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $100.00	Facility		$14.13	$42.66	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $21.88	Professional		$12.88	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $77.62	Facility		$19.50	$19.50	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $14.13	Professional		$8.32	$8.32	$14.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $117.49	Professional		$50.12	$79.43	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $89.13	Facility		$19.95	$38.90	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $22.91	Professional		$9.55	$12.02	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $28.84	Professional		$19.50	$23.44	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $33.11	Professional		$14.13	$28.18	$33.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $16.60	Facility		$14.45	$15.14	$16.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.45 / $40.74	Professional		$13.49	$14.45	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.30 / $10,000.00	Facility		$14.45	$26.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $10,000.00	Professional		$14.45	$26.30	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.50 / $23.44	Facility		$8.32	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $17.78	Professional		$8.32	$10.23	$17.78