Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $107.15	Facility		$22.91	$50.12	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $30.20	Professional		$16.22	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $107.15	Facility		$26.92	$26.92	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $17.78	Professional		$10.72	$10.72	$17.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $70.79	Professional		$29.51	$47.86	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $123.03	Facility		$26.92	$51.29	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $30.90	Professional		$11.75	$13.80	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $39.81	Professional		$26.92	$32.36	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.20 / $34.67	Professional		$14.79	$30.20	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $22.91	Facility		$15.14	$19.50	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $56.23	Professional		$15.14	$16.22	$56.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $10,000.00	Facility		$18.62	$31.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $10,000.00	Professional		$18.62	$31.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.92 / $32.36	Facility		$11.22	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.22 / $17.38	Professional		$5.89	$11.22	$17.38