Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $34.67 / $173.78	Facility		$13.49	$34.67	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $15.85	Professional		$10.00	$12.30	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $56.23	Facility		$14.13	$14.13	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.96	Professional		$7.08	$7.08	$10.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $100.00	Professional		$41.69	$66.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $36.31 / $64.57	Facility		$14.45	$36.31	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $16.60	Professional		$7.94	$9.55	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $20.89	Professional		$14.13	$16.98	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $27.54	Professional		$11.75	$23.99	$27.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.30 / $13.49	Facility		$12.02	$12.30	$13.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $29.51	Professional		$12.30	$23.99	$29.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $10,000.00	Facility		$11.75	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $10,000.00	Professional		$10.96	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.13 / $16.98	Facility		$6.03	$14.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $14.79	Professional		$6.03	$8.51	$14.79