Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $38.02 / $109.65	Facility		$12.88	$38.02	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $20.89	Professional		$12.88	$14.13	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Facility		$18.20	$18.20	$72.44
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 $51.29 / $81.28 / $123.03	Professional		$51.29	$81.28	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $83.18	Facility		$18.62	$46.77	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $20.89	Professional		$10.23	$12.30	$20.89
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 $15.14 / $30.90 / $35.48	Professional		$15.14	$30.90	$35.48
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 / $36.31 / $38.02	Professional		$15.85	$36.31	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.70 / $10,000.00	Facility		$14.13	$25.70	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $10,000.00	Professional		$14.13	$25.12	$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 / $10.72 / $18.20	Professional		$7.76	$10.72	$18.20