Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $44.67 / $123.03	Facility		$15.14	$44.67	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $22.91	Professional		$15.14	$15.85	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Facility		$20.42	$20.42	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $15.85	Professional		$10.23	$10.23	$15.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $144.54	Professional		$60.26	$97.72	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $93.33	Facility		$20.89	$52.48	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $23.44	Professional		$11.48	$13.80	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $30.20	Professional		$20.42	$24.55	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $34.67 / $39.81	Professional		$16.98	$34.67	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.62 / $19.50	Facility		$17.38	$18.62	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $42.66	Professional		$17.78	$36.31	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $10,000.00	Facility		$15.85	$29.51	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $10,000.00	Professional		$15.85	$28.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $20.42 / $24.55	Facility		$8.71	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $21.38	Professional		$8.71	$12.30	$21.38