Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $91.20 / $251.19	Facility		$22.91	$91.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $27.54	Professional		$14.45	$15.49	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $85.11	Facility		$21.38	$21.38	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $14.13	Professional		$8.51	$8.51	$14.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $114.82	Professional		$48.98	$77.62	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $95.50	Facility		$21.38	$42.66	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $24.55	Professional		$9.77	$12.59	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $31.62	Professional		$21.38	$25.70	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.54 / $32.36	Professional		$13.80	$27.54	$32.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $19.05	Facility		$14.13	$15.49	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $44.67	Professional		$14.13	$19.50	$44.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $10,000.00	Facility		$15.49	$26.92	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $10,000.00	Professional		$15.49	$27.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $21.38 / $25.70	Facility		$8.91	$21.38	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.23 / $17.38	Professional		$8.91	$10.23	$17.38