Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $199.53	Facility		$21.88	$57.54	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $26.92	Professional		$15.49	$19.05	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $95.50	Facility		$23.44	$23.44	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $18.20	Professional		$11.48	$11.48	$18.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $162.18	Professional		$69.18	$109.65	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $107.15	Facility		$23.99	$58.88	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $27.54	Professional		$12.88	$15.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $34.67	Professional		$23.44	$28.18	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $45.71	Professional		$19.05	$38.90	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.89 / $21.88	Facility		$19.95	$20.89	$21.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.95 / $50.12	Professional		$11.48	$19.95	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $10,000.00	Facility		$18.20	$33.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $10,000.00	Professional		$18.20	$32.36	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $23.44 / $28.18	Facility		$10.00	$23.44	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.99	Professional		$10.00	$14.13	$23.99