Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $97.72 / $223.87	Facility		$26.92	$97.72	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $23.99	Professional		$15.85	$19.50	$23.99
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 $10.72 / $10.72 / $16.60	Professional		$10.72	$10.72	$16.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $138.04	Professional		$58.88	$93.33	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $97.72	Facility		$21.88	$54.95	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $24.55	Professional		$12.30	$14.79	$24.55
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 / $36.31 / $42.66	Professional		$18.20	$36.31	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.50 / $20.42	Facility		$18.62	$19.50	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $45.71	Professional		$18.62	$36.31	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.90 / $10,000.00	Facility		$18.20	$30.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $10,000.00	Professional		$16.98	$29.51	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $21.88 / $26.30	Facility		$9.12	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $20.89	Professional		$9.12	$12.02	$20.89