Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $75.86 / $389.05	Facility		$15.49	$75.86	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $34.67	Professional		$12.02	$15.14	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Facility		$17.38	$17.38	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $11.48	Professional		$6.92	$6.92	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $87.10	Professional		$36.31	$57.54	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $33.88 / $89.13	Facility		$11.22	$33.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $8.71 / $19.95	Professional		$0.17	$8.71	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $25.70	Professional		$17.38	$20.89	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $14.79	Facility		$12.59	$12.59	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $36.31	Professional		$14.13	$14.13	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.42 / $10,000.00	Facility		$12.02	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $10,000.00	Professional		$12.02	$20.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.38 / $20.89	Facility		$7.24	$17.38	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $12.88	Professional		$7.24	$7.76	$12.88