Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $44.67 / $933.25	Facility		$19.50	$44.67	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.88 / $23.99	Professional		$11.75	$12.88	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $66.07	Facility		$16.60	$16.60	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $12.88	Professional		$8.32	$8.32	$12.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $117.49	Professional		$48.98	$77.62	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $43.65 / $75.86	Facility		$16.98	$43.65	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $19.50	Professional		$9.33	$11.22	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $24.55	Professional		$16.60	$19.95	$24.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $32.36	Professional		$13.80	$28.18	$32.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Facility		$14.13	$15.14	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $34.67	Professional		$14.45	$32.36	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $10,000.00	Facility		$13.80	$23.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $10,000.00	Professional		$12.88	$23.99	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.60 / $19.95	Facility		$7.08	$16.60	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $17.38	Professional		$7.08	$10.00	$17.38