Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $141.25	Facility		$19.05	$57.54	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $30.20	Professional		$19.05	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $104.71	Facility		$26.30	$26.30	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $19.50	Professional		$11.75	$11.75	$19.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $165.96	Professional		$69.18	$112.20	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $117.49	Facility		$26.92	$61.66	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $30.20	Professional		$13.18	$15.85	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $38.90	Professional		$26.30	$31.62	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $45.71	Professional		$19.50	$39.81	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $28.18	Facility		$20.42	$28.18	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $54.95	Professional		$16.22	$20.42	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $34.67 / $10,000.00	Facility		$19.05	$34.67	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $10,000.00	Professional		$19.05	$34.67	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $31.62	Facility		$10.96	$26.30	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $24.55	Professional		$10.96	$14.45	$24.55