Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $229.09	Facility		$25.12	$61.66	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $35.48	Professional		$15.85	$18.20	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $95.50	Facility		$23.99	$23.99	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $16.22	Professional		$9.55	$9.55	$16.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $125.89	Professional		$53.70	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $109.65	Facility		$24.55	$46.77	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $27.54	Professional		$10.96	$13.80	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $35.48	Professional		$23.99	$28.84	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $35.48	Professional		$15.14	$30.20	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.38 / $20.42	Facility		$15.49	$17.38	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $50.12 / $79.43	Professional		$15.49	$50.12	$79.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $10,000.00	Facility		$17.78	$30.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $10,000.00	Professional		$17.78	$30.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $23.99 / $28.84	Facility		$10.00	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $19.05	Professional		$10.00	$11.22	$19.05