Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $147.91	Facility		$12.88	$36.31	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $15.85	Professional		$9.55	$10.96	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $58.88	Facility		$14.79	$14.79	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $11.22	Professional		$7.24	$7.24	$11.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $104.71	Professional		$43.65	$69.18	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.02 / $66.07	Facility		$15.14	$38.02	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.77 / $16.98	Professional		$8.32	$9.77	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $21.88	Professional		$14.79	$17.78	$21.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $28.84	Professional		$12.30	$24.55	$28.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.49 / $13.80	Facility		$12.59	$13.49	$13.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.99 / $30.90	Professional		$12.59	$23.99	$30.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.99 / $10,000.00	Facility		$13.18	$23.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $24.55 / $10,000.00	Professional		$13.18	$24.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $14.79 / $17.78	Facility		$6.17	$14.79	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $15.49	Professional		$6.17	$8.91	$15.49