Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $123.03 / $229.09	Facility		$23.44	$123.03	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $33.88	Professional		$12.88	$16.60	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $74.13	Facility		$18.62	$18.62	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $14.13	Professional		$9.55	$11.22	$14.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $131.83	Professional		$54.95	$87.10	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $48.98 / $85.11	Facility		$19.05	$48.98	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $20.89	Professional		$10.47	$13.49	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $27.54	Professional		$18.62	$22.39	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $36.31	Professional		$15.49	$30.90	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.98 / $18.62	Facility		$15.85	$16.98	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $38.90	Professional		$15.14	$15.85	$38.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.90 / $10,000.00	Facility		$16.60	$30.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.62 / $10,000.00	Professional		$16.60	$31.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $18.62 / $22.39	Facility		$9.33	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $19.50	Professional		$7.76	$11.22	$19.50