Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $69.18 / $177.83	Facility		$16.98	$69.18	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $21.88	Professional		$10.00	$12.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $58.88	Facility		$14.45	$14.45	$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 / $102.33	Professional		$43.65	$69.18	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $66.07	Facility		$14.79	$33.11	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $16.98	Professional		$8.13	$9.77	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $21.38	Professional		$14.45	$17.38	$21.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $24.55 / $28.84	Professional		$4.68	$24.55	$28.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.59 / $13.80	Facility		$12.30	$12.59	$13.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $30.90	Professional		$12.59	$16.22	$30.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $10,000.00	Facility		$12.88	$22.91	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $10,000.00	Professional		$12.88	$22.91	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.30 / $17.38	Facility		$5.13	$12.30	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $14.45	Professional		$6.17	$8.71	$14.45