Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.95 / $141.25	Facility		$18.20	$54.95	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $28.18	Professional		$18.20	$19.95	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $100.00	Facility		$25.12	$25.12	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $19.50	Professional		$11.75	$11.75	$19.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $109.65	Professional		$46.77	$74.13	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $58.88 / $114.82	Facility		$25.70	$58.88	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $28.84	Professional		$13.18	$15.85	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $37.15	Professional		$25.12	$30.20	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $45.71	Professional		$19.50	$39.81	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.38 / $22.91	Facility		$20.42	$21.38	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $52.48	Professional		$20.42	$26.92	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $34.67 / $10,000.00	Facility		$18.20	$34.67	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $10,000.00	Professional		$18.20	$33.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $25.12 / $30.20	Facility		$10.47	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $19.50	Professional		$9.33	$12.59	$19.50