Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $47.86 / $120.23	Facility		$17.38	$47.86	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $25.12	Professional		$10.96	$14.45	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $63.10	Facility		$15.85	$15.85	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $11.75	Professional		$7.94	$7.94	$11.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $112.20	Professional		$46.77	$74.13	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $72.44	Facility		$16.22	$40.74	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $18.20	Professional		$8.91	$11.75	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.44	Professional		$15.85	$19.05	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $15.85	Facility		$13.49	$14.45	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $33.11	Professional		$13.80	$31.62	$33.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $10,000.00	Facility		$14.13	$22.39	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $10,000.00	Professional		$14.13	$22.39	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.85 / $19.05	Facility		$6.76	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $22.39	Professional		$9.55	$13.80	$22.39