Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $107.15 / $223.87	Facility		$28.84	$107.15	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $30.20	Professional		$10.96	$13.18	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Facility		$15.14	$15.14	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $11.48	Professional		$7.41	$7.41	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $107.15	Professional		$44.67	$70.79	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.90 / $67.61	Facility		$15.49	$38.90	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $22.39	Professional		$8.51	$11.48	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $22.39	Professional		$15.14	$18.20	$22.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.12 / $29.51	Professional		$12.59	$25.12	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $14.13	Facility		$12.88	$13.18	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $31.62	Professional		$12.02	$12.88	$31.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $24.55 / $10,000.00	Facility		$13.49	$24.55	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $10,000.00	Professional		$13.49	$25.70	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $15.14 / $18.20	Facility		$6.31	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $15.85	Professional		$6.31	$9.12	$15.85