Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $107.15 / $208.93	Facility		$26.92	$107.15	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $87.10	Facility		$21.88	$21.88	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.98	Professional		$10.96	$10.96	$16.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $154.88	Professional		$64.57	$104.71	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $57.54 / $100.00	Facility		$22.39	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $25.12	Professional		$12.30	$14.79	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $32.36	Professional		$21.88	$26.30	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $42.66	Professional		$18.20	$37.15	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.05 / $20.89	Facility		$18.62	$19.05	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $45.71	Professional		$17.38	$19.05	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $10,000.00	Facility		$18.20	$31.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $10,000.00	Professional		$16.98	$31.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $21.88 / $26.30	Facility		$9.33	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $22.91	Professional		$9.33	$13.18	$22.91