Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $134.90	Facility		$19.95	$60.26	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $30.90	Professional		$18.20	$20.89	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $109.65	Facility		$27.54	$27.54	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $18.20	Professional		$10.96	$10.96	$18.20
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 $27.54 / $50.12 / $123.03	Facility		$27.54	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $31.62	Professional		$11.48	$13.80	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $40.74	Professional		$27.54	$33.11	$40.74
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 $14.79 / $19.95 / $23.44	Facility		$14.79	$19.95	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $57.54	Professional		$14.79	$28.18	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $10,000.00	Facility		$19.50	$32.36	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $10,000.00	Professional		$19.50	$32.36	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $27.54 / $33.11	Facility		$11.48	$27.54	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $18.20	Professional		$10.00	$12.30	$18.20