Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $97.72 / $177.83	Facility		$25.70	$97.72	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $25.70	Professional		$10.00	$11.75	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $54.95	Facility		$13.49	$13.49	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.47	Professional		$6.76	$6.76	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $95.50	Professional		$40.74	$64.57	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $35.48 / $61.66	Facility		$13.80	$35.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $20.42	Professional		$7.59	$10.47	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $19.95	Professional		$13.49	$16.22	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.91 / $26.92	Professional		$11.22	$22.91	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.75 / $12.88	Facility		$11.48	$11.75	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $28.84	Professional		$11.75	$17.78	$28.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $10,000.00	Facility		$12.02	$21.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $10,000.00	Professional		$12.02	$21.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $11.48 / $16.22	Facility		$4.79	$11.48	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $14.13	Professional		$5.75	$8.13	$14.13