Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $97.72 / $338.84	Facility		$22.91	$97.72	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $39.81	Professional		$12.02	$14.79	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $64.57	Facility		$16.22	$16.22	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $114.82	Professional		$47.86	$77.62	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $42.66 / $74.13	Facility		$16.60	$42.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $23.99	Professional		$9.12	$12.59	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $23.99	Professional		$16.22	$19.50	$23.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.54 / $31.62	Professional		$13.49	$27.54	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.79 / $15.49	Facility		$13.80	$14.79	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.88 / $37.15	Professional		$14.13	$33.88	$37.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.30 / $10,000.00	Facility		$14.45	$26.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $10,000.00	Professional		$14.45	$26.30	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $16.22 / $19.50	Facility		$6.92	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $16.98	Professional		$6.92	$9.77	$16.98