Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $177.83	Facility		$22.39	$50.12	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $34.67	Professional		$12.88	$14.13	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Facility		$18.20	$18.20	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $125.89	Professional		$53.70	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $81.28	Facility		$18.20	$45.71	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $20.42	Professional		$10.23	$12.02	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $26.92	Professional		$18.20	$21.88	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $35.48	Professional		$15.14	$30.20	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.22 / $16.98	Facility		$15.49	$16.22	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $38.02	Professional		$12.88	$15.49	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $10,000.00	Facility		$15.14	$25.70	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $10,000.00	Professional		$14.13	$25.70	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.20 / $21.88	Facility		$7.59	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $19.05	Professional		$7.59	$10.96	$19.05