Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $102.33 / $213.80	Facility		$23.44	$102.33	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $33.88	Professional		$12.88	$16.22	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $74.13	Facility		$18.20	$18.20	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $14.13	Professional		$9.12	$9.12	$14.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $128.82	Professional		$54.95	$87.10	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $47.86 / $83.18	Facility		$18.62	$47.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $26.92	Professional		$10.23	$14.13	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $26.92	Professional		$18.20	$21.88	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $36.31	Professional		$25.12	$30.90	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.85 / $17.38	Facility		$15.49	$15.85	$17.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $38.90	Professional		$15.85	$26.92	$38.90
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 $16.60 / $27.54 / $10,000.00	Professional		$16.60	$27.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $18.20 / $21.88	Facility		$7.76	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $19.50	Professional		$7.76	$10.96	$19.50