Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $57.54 / $181.97	Facility		$20.89	$57.54	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $18.20	Professional		$12.02	$14.79	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $69.18	Facility		$16.98	$16.98	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.18	Professional		$8.51	$8.51	$13.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $120.23	Professional		$51.29	$81.28	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $41.69 / $77.62	Facility		$17.38	$41.69	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $19.95	Professional		$9.55	$11.48	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $25.12	Professional		$16.98	$20.42	$25.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $33.88	Professional		$14.13	$28.84	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.79 / $16.22	Facility		$14.45	$14.79	$16.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $36.31 / $36.31	Professional		$14.79	$36.31	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $10,000.00	Facility		$14.13	$23.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $10,000.00	Professional		$13.18	$23.99	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $16.98 / $20.42	Facility		$7.24	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $17.78	Professional		$7.24	$10.23	$17.78