Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $63.10 / $169.82	Facility		$16.22	$63.10	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $19.05	Professional		$8.91	$10.96	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Facility		$12.59	$12.59	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $9.55	Professional		$6.17	$6.17	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $89.13	Professional		$37.15	$58.88	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $32.36 / $56.23	Facility		$12.88	$32.36	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $14.45	Professional		$7.08	$8.51	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $18.62	Professional		$12.59	$15.14	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.89 / $24.55	Professional		$10.47	$20.89	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.48 / $11.75	Facility		$10.72	$11.48	$11.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.39 / $26.30	Professional		$10.72	$22.39	$26.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.42 / $10,000.00	Facility		$11.22	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.89 / $10,000.00	Professional		$11.22	$20.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.59 / $15.14	Facility		$5.25	$12.59	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $13.18	Professional		$5.25	$7.59	$13.18