Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $63.10 / $173.78	Facility		$22.91	$63.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $23.44	Professional		$14.13	$15.14	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $79.43	Facility		$19.50	$19.50	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.14	Professional		$9.77	$9.77	$15.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $77.62	Professional		$32.36	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $89.13	Facility		$19.95	$51.29	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $22.91	Professional		$10.96	$13.18	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $28.84	Professional		$19.50	$23.44	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $22.39	Professional		$19.50	$19.50	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.78 / $18.62	Facility		$16.60	$17.78	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $41.69	Professional		$16.98	$39.81	$41.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.30 / $10,000.00	Facility		$14.45	$26.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $10,000.00	Professional		$15.14	$26.92	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.50 / $23.44	Facility		$8.32	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $19.50	Professional		$8.32	$11.75	$19.50